Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right internal jugular central venous catheter extends to the mid SVC . The tip of the endotracheal tube projects over the mid thoracic trachea and the gastric tube extends to the stomach . There is no focal consolidation , pleural effusion or pneumothorax identified . The size of the cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
No significant interval change since the prior examination .