Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomegaly is stable . The mediastinal and hilar contours are normal . The pulmonary vasculature congestion and right - sided pleural effusion appear similar . No focal consolidation or pneumothorax . Lines and tubes : The ET tube tip is approximately 4 .3 cm above the carina . NG tube extends inferiorly towards the stomach and passes out of view . Imaged cardiac leads appear in similar position to yesterday .
    OUTPUT:
    
Pulmonary edema and right pleural effusion are not significantly changed .