Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects 4 .3 cm from the carina . The tip of the right PICC line projects over the lower right atrium . A feeding tube extends into the stomach . A left chest wall dual lead AICD is present . Low bilateral lung volumes with unchanged vascular crowding and mild bibasilar atelectasis . Small right pleural effusion is unchanged . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
The tip of the endotracheal tube projects 4 .3 cm from the carina . Otherwise no significant interval change since the prior radiograph .