Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube tip ends 2 .6 cm above the carina . Right - sided PICC line and right internal jugular line are in unchanged position in the distal superior vena cava . An NG tube extends below the diaphragm . Unchanged appearance of severe cardiomegaly with bilateral atrial enlargement and mitral valve repair . No change in small bilateral pleural effusions with atelectasis .
    OUTPUT:
    
No interval change from yesterday , tubes and lines in adequate position .