Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 05 : 16 , I doubt significant interval change . An ET tube tip lies approximately 5 .8 cm above the carina . An NG tube is present , tip and side - port beneath diaphragm . Left subclavian PICC line tip lies at the SVC / RA junction . Cardiomediastinal silhouette is unchanged . There is upper zone redistribution and minimal bibasilar atelectasis , similar to the prior film . No pneumothorax detected . Biapical pleural thickening again noted . Lumbar spine fixation hardware is again noted .
    OUTPUT:
    
Doubt significant change . Upper zone redistribution and minimal atelectasis , but no overt CHF , focal consolidation , or gross effusion .