Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . A tube is seen immediately to the left of midline at the level of the trachea . However , given patient rotation , it is difficult to confirm that this represents an ET tube . The tip lies at the inferior edge of the clavicular heads . Clinical correlation is requested . An NG tube is present , extending beneath diaphragm , off the film . Right IJ central line tip overlies the mid SVC . No pneumothorax is detected . Allowing for differences in positioning , the cardiomediastinal silhouette is probably similar . Again seen is upper zone redistribution and diffuse vascular plethora . Hazy opacity at the lung bases suggests the presence of bilateral effusions with underlying collapse and / or consolidation . Allowing for differences in positioning , the left pleural effusion appears smaller . Otherwise , the appearance at both bases is probably similar .
    OUTPUT:
    
1 . Comparison is limited due to differences in positioning , in particular due to the patient rotation . If desired , a repeat AP view be obtained at no additional charge to the the patient to facilitate direct comparison . 2 . ? ET tube . Please see comment above . 3 . Interval improvement in left pleural effusion . Otherwise , allowing for differences in positioning , I doubt significant change at the lung bases , with continued effusions and underlying collapse and / or consolidation . 4 . CHF with vascular plethora , possibly very slightly improved .