Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior , there is no significant interval change . An endotracheal tube , left subclavian central line , and left chest tube are unchanged in position . A line in the lateral left soft tissues that courses superiorly , likely overlies the patient . There is no pleural effusion or pneumothorax . The right and left lung are grossly clear . The cardiomediastinal silhouette is unchanged . Multiple left rib fractures are again seen .
    OUTPUT:
    
No significant interval change .