Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant change since the study from the prior date . A left subclavian PICC line terminating at the mid SVC , left apical chest tube , and left apical pneumothorax are unchanged . There is no endotracheal tube . Lungs remain clear with normal heart size and mediastinal contours .
    OUTPUT:
    
No endotracheal tube identified . Unchanged left PICC line , left apical chest tube , and left apical pneumothorax .