Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects at the level of the clavicular heads , 6 .7 cm from the carina and could be advanced . The feeding tube extends into the stomach . The tip of the right PICC line projects over the cavoatrial junction . Low bilateral lung volumes with unchanged pulmonary edema , and bilateral layering pleural effusions with subjacent atelectasis . No pneumothorax identified . The size the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
No significant interval change since the prior radiograph .