Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No focal consolidation , pleural effusion , pneumothorax , or pulmonary edema is evident on this view . Heart size is stably enlarged . Right internal jugular catheter , pacing hardware , and endotracheal tube appear similarly positioned . There has been interval placement of an esophageal catheter which courses below the diaphragm into the right upper quadrant with tip out of view . Sternal wires appear intact . Mediastinal clips are again noted . Abdominal aortic hardware is partially imaged .
    OUTPUT:
    
No acute change detected .