Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from the same day , new endotracheal tube 2 cm from the carina . mild pulmonary vascular congestion and moderate cardiomegaly unchanged . Small bilateral pleural effusions . Linear opacities along the right fissure have slightly increased . No pneumothorax . Cholecystectomy clips and G - tube in the left upper quadrant .
    OUTPUT:
    
Mild pulmonary vascular congestion , not substantially changed .