Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . A feeding tube extends into the stomach . The tip of the left internal jugular central venous catheter projects over the mid SVC . The lungs are markedly hyperexpanded . There are persisting but decreased left lower lung zone patchy opacities . Blunting of both costophrenic angles are noted which may reflect small bilateral pleural effusions or pleural thickening . No pneumothorax identified . The size the cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Interval decrease in extent of the patchy opacities in the left lower lung zone . New blunting of both costophrenic angles may reflect small bilateral pleural effusions .