Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in unchanged position , 3 .5 cm from the carina . An enteric tube courses below the diaphragm with the tip out of field of view . The right internal jugular central venous catheter is present with the tip in the mid SVC . Again , there are moderate bilateral pleural effusions , similar to the prior exam . Bilateral , predominantly perihilar interstitial and parenchymal opacities are similar to the prior exam . There is no new opacity . There is no pneumothorax . The mediastinal contours are normal . The heart size is difficult to determine given the adjacent effusions .
    OUTPUT:
    
No significant change from the prior exam in the bilateral opacities and moderate bilateral pleural effusions .