Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . An ET tube is present , tip approximately 5 .2 cm above the carina . Compared with the prior film , the right pleural effusion may be slightly smaller . Left pleural effusion is also likely smaller . Otherwise , I doubt significant interval change . There is CHF , with pulmonary edema . Increased retrocardiac density , consistent with left lower lobe collapse and / or consolidation is again seen . Tubular structure in right upper quadrant likely represents a tips stent . Additional clips or other radiopaque structures overlie the upper mid abdomen . At the edge of these films , an old right humeral surgical neck fracture is seen , probably only partially united .
    OUTPUT:
    
Interval decrease in bilateral pleural effusions . Persistent cardiomegaly and pulmonary edema , with left lower lobe collapse and / or consolidation .