Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared with the prior study , the endotracheal tube is located 3 cm above the carina in satisfactory position . There has been interval placement of two chest tubes , without appreciable pneumothorax . There is elevation of the right hemidiaphragm , which is more pronounced than on the prior study . Lung volumes are low , without focal consolidation . Right basal atelectasis is appreciated . Bilateral rib fractures are again demonstrated , though poorly assessed due to rotation . What appears to be a left subclavian venous catheter terminates as before at the level of the confluence of brachiocephalic veins . What appears to be a left PICC or other small caliber catheter terminates at the level of the axilla . Calcified and unfolded tortuous aorta is noted . The heart is mildly enlarged .
    OUTPUT:
    
1 . Interval placement of bilateral chest tubes without appreciable pneumothorax . 2 . Left subclavian catheter terminating in the left brachiocephalic vein just proximal to the confluence . Small bore catheter terminating at the level of the left axilla . These findings were discussed with Dr . ___ by Dr . ___ at ___ on ___ by phone .