Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph performed yesterday morning , the bilateral chest tubes have been removed . The enteric tube terminates in the stomach . Right IJ introducer and left subclavian line terminates at the mid-SVC . Endotracheal tube is 6 .4 cm above the carina . Median sternotomy wires are intact . There is some persistent layering pleural effusions bilaterally . Bibasilar atelectasis also noted . No pneumothorax . Right paramediastinal opacity described on the ___ CXR is re-demonstrated , and the possibility of a mediastinal hematoma should be considered . Persistent cardiomegaly . Atherosclerotic calcifications are noted in the aortic arch . Some surgical clips are noted in the left upper quadrant .
    OUTPUT:
    
1 . Interval removal of bilateral chest tubes . No pneumothorax . 2 . ETT is 6 .4 cm above the carina . 3 . Persistent right paramediastinal opacity , which may represent a mediastinal hematoma . Close attention on follow - up .