Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . Analysis is performed in direct comparison with the next preceding similar study dated ___ . The patient remains intubated , the ETT terminating in the trachea 5 cm above the level of the carina . Previously described left - sided PICC line terminates in unchanged position in lower third of SVC . No pneumothorax identified in apical area . Mild cardiac enlargement , not significantly changed since previous examination . No new acute pulmonary parenchymal infiltrates are seen . Evidence of bilateral small amount of pleural effusions , slightly more on right than left , also grossly unchanged .
    OUTPUT:
    
No significant interval change in comparison with next previous portable chest examination ___ ___ .