Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the endotracheal and esophageal tubes since the prior study . Left internal jugular approach central venous catheter is unchanged in position . The lung volumes are slightly low , as before , but remain clear . The cardiomediastinal silhouette is unremarkable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Interval removal of endotracheal and esophageal tubes , with no other significant change since the prior study .