Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT tip projects approximately 4 cm from the carina . The right internal jugular venous catheter tip projects over the expected region of the SVC - RA junction . An enteric tube traverses the diaphragm into the left upper quadrant and its tip is beyond the scope of the time . Lung volumes remain low . Bilateral airspace opacities , more conspicuous on the left compared to the right may reflect asymmetric edema or concurrent action . Small bilateral layering pleural effusions are minimally changed . Cardiomediastinal silhouette unchanged bronchovascular crowding and pulmonary vascular congestion .
    OUTPUT:
    
No significant interval change .