Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is an ET tube , tip at the level of the mid clavicular heads , 4 .8 cm from the carina . The NG tube tip extends beneath the diaphragm off the film . Also again seen is a right IJ line , tip overlying the mid SVC . Clips are again noted over the upper mediastinum . Cardiomediastinal silhouette is unchanged . There is vascular plethora , diffuse vascular blurring , and minimal fluid in the minor fissure , consistent with CHF . Hazy opacity over both lung bases likely represents layering bilateral layering pleural effusions , with underlying collapse and / or consolidation . Compared with 1 day earlier , the right hemidiaphragm is obscured , likely reflecting an increase in the right pleural effusion and underlying collapse and / or consolidation . Otherwise , doubt significant interval change .
    OUTPUT:
    
CHF with bilateral effusions and bibasilar collapse and / or consolidation . Interval obscuration of the right hemidiaphragm could reflect a small increase in right pleural fluid and underlying collapse and / or consolidation . Otherwise doubt significant interval change .