Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects in 2 .5 cm from the carina . The tip of the left internal jugular central venous line projects over the mid SVC . 3 left chest tubes are present as is a new right sided chest tube . No large pneumothorax identified . Extensive opacities again project over the right mid to lower hemithorax as well as at the left lung base and are grossly unchanged . A right pleural effusion is present . The size of the cardiomediastinal silhouette is enlarged but unchanged . Extensive subcutaneous emphysema .
    OUTPUT:
    
No large left pneumothorax identified . Overall no significant interval change . New right chest tube as well as an additional left chest tube .