Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of a left internal jugular central venous catheter , the tip projecting over the left brachiocephalic / SVC confluence . The tip of the endotracheal tube projects over the mid thoracic trachea . A feeding tube extends to the stomach . A pacing wire projects over the right ventricle . The size and appearance of the cardiac silhouette is enlarged but unchanged . There is persisting mild pulmonary edema . The right costophrenic angle is not included on this radiograph . No left pleural effusion or pneumothorax identified .
    OUTPUT:
    
Interval placement of a left internal jugular central venous line , the tip projects over the left brachiocephalic / SVC junction . Otherwise no significant interval change since the prior examination .