Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is marked rightward rotation of the patient on the current radiograph , which severely limits assessment . Median sternotomy wires are again seen . A tracheostomy tube appears in grossly appropriate location . A left IJ central venous catheter has a similar orientation in comparison to prior radiograph , however due to rotation , position is unable to be accurately determined . There is stable enlargement of the cardiomediastinal silhouettes . Diffuse interstitial prominence is similar in appearance to prior studies . Blunting of the right lateral CP angle may represent a trace right pleural effusion . There is no obvious left pleural effusion . There is no pneumothorax .
    OUTPUT:
    
1 . Severely limited study due to marked rotation . 2 . Stable mild cardiomegaly with stable diffuse interstitial prominence . 3 . No focal lung consolidation . Possible trace right pleural effusion .