Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET TUBE TIP APPROXIMATELY 1 .8 CM ABOVE THE CARINA . NG TUBE TIP EXTENDING BENEATH DIAPHRAGM , OFF FILM . COMPARED TO THE PRIOR FILM , I DOUBT SIGNIFICANT INTERVAL CHANGE . AGAIN SEEN IS BIBASILAR ATELECTASIS IN THE SETTING OF LOW INSPIRATORY VOLUMES , WITH MORE PATCHY OPACITY IN THE RIGHT CARDIOPHRENIC REGION , UNCHANGED . MINIMAL , IF ANY , VASCULAR PLETHORA , ALLOWING FOR LOW INSPIRATORY VOLUMES . NO GROSS EFFUSIONS .
    OUTPUT:
    
DOUBT SIGNIFICANT INTERVAL CHANGE . DOUBT SIGNIFICANT CHF AT THIS TIME .