Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tip of the nasogastric tube lies within the stomach . The position of the right IJ sheath is unchanged and satisfactory . Bilateral pleural effusions are present . The degree of vascular engorgement on the current film appears less than it was on the prior chest x-ray of ___ .
    OUTPUT:
    
Position of tubes satisfactory , improvement in degree of failure .