Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT in standard position . Left internal jugular venous catheter tip projects over the expected region of the right atrium , unchanged . Enteric tubes traverse the midline into the left upper quadrant 0 , beyond the scope of this image . Right pigtail catheter projects over the lower right hemithorax and appears slightly kinked . Bilateral airspace opacities , more confluent in the left and also in the right lower lobe are overall minimally changed from the prior exam , consistent with history of ARDS and concurrent right lower lobe pneumonia . Cardiomediastinal silhouette is overall unchanged . No effusion . No pneumothorax .
    OUTPUT:
    
No significant interval change other than possible kinked appearance of pigtail catheter .