Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . Lung volumes are low , overall unchanged . Large right pleural effusion has decreased in size , now moderate . Small left pleural effusion is overall unchanged . Interval decrease in edema , now mild . Bilateral atelectasis is overall unchanged . The heart is mildly enlarged and overall unchanged . No pneumothorax . The trachea is deviated rightward and could be potentially explain by a predominantly larger left goiter a noted on recent CT ; however , deviation is slightly more prominent on radiograph compared to prior exams in in the setting of recent left internal jugular vein placement , correlation for possible hematoma is recommended . The left internal jugular vein catheter tip crosses the midline and courses upward in the SVC with the tip now in the upper SVC . The ETT is in standard position . An enteric tube traverses the midline and ends in the right upper quadrant in an air - filled stomach - the side port is probably at the gastroesophageal junction and should be advanced . The single - lead cardiac device is unchanged .
    OUTPUT:
    
1 . Interval improvement in bilateral pleural effusions and edema . 2 . Left internal jugular vein malpositioned and tip orients cephalad in the upper SVC . Recommend again pulling back at least 2 - 3 cm and repositioning . 3 . NGT too high - recommend advancing several centimeters . 4 . Right - ward trachea deviation could be from predominant left goiter , but correlate with clinical assessment for possible hematoma given recent left IJ placement .