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 left subclavian central venous line catheter tip extends to the cavoatrial junction . Two enteric tubes extend below the level the diaphragms but beyond the field of view of the radiograph . There has been interval advancement of the Dobhoff feeding tube . The tip of the endotracheal tube projects over the mid thoracic trachea . Moderate bilateral pleural effusions with overlying atelectasis . No pneumothorax identified . The size the cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Unchanged moderate bilateral pleural effusions with overlying atelectasis . The seen on this radiograph . Tip of a left subclavian central venous catheter extends to the cavoatrial junction . Interval advancement of the Dobhoff feeding tube , however the distal tip is not