Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , the ET tube and NG tube have been removed . The right IJ line is again seen , tip -- as before -- near cavoatrial junction . No pneumothorax is identified . On the current study , the patient is markedly rotated , much more so than on the prior study . This makes direct comparison to the prior study difficult . There appears to be upper zone redistribution , with diffuse vascular blurring and interstitial edema , consistent with CHF . Patchy opacity at the right base with obscuration of the right hemidiaphragm and blunting of the right costophrenic angle is probably similar , allowing for differences in positioning . The left hemidiaphragm remains distinctly visible . The possibility of some retrocardiac opacity at the left base would be difficult to exclude due to positioning . No gross left effusion .
    OUTPUT:
    
Somewhat limited assessment due to extreme the patient rotation . Allowing for this , there appears to be interval worsening of CHF findings , with evidence for interstitial edema . Patchy opacity at the right base right base and suspected retrocardiac density are probably unchanged . Possible small right effusion , but no gross left effusion .