Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior film from 1 day earlier , the right IJ central line has been removed . Of note , the carina is not well delineated making it difficult to assess the position of the ET - tube with respect to the carina . Based on prior studies , it may lie approximately 5 cm above the carina . An NG tube is present , and this as before , this can not be traced beyond the level of the midesophagus , making did it difficult to determine its actual position . No pneumothorax is detected . Cardiomediastinal silhouette and the opacities in the right mid and lower zones and left base are similar to the prior film .
    OUTPUT:
    
Interval removal of right IJ line . Otherwise , doubt significant interval change . Of note , the position ET tube and NG tube is difficult to determine , as detailed above .