Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip approximately 3 .8 cm above the carina . An NG type tube is present , faintly seen , extending beneath the diaphragm . A right - sided PICC line is present , tip at SVC / RA junction , apparently retracted compared with the film from the most recent prior film . The right apex is obscured by overlying material , but no obvious pneumothorax is identified . The patient 's cervical fixation hardware is again noted . There is prominence of the cardiomediastinal silhouette , similar to prior . There is pulmonary vascular plethora , consistent with mild CHF , possibly slightly improved . There is patchy opacity at both lung bases , consistent with collapse and / or consolidation . No gross effusion is identified .
    OUTPUT:
    
1 . PICC line tip now lies at the SVC / RA junction . 2 . CHF , with bibasilar collapse and / or consolidation . Vascular plethora may be slightly improved . The bibasilar changes are similar to the prior film .