Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are decreased when compared to the prior study . The patient is intubated , the tip of the ended tracheal tube is 2 cm above the level of the carina . A nasoenteric tube terminates below the left hemidiaphragm but the tip is not visualized . A dual lumen Port - A - Cath terminates in the distal SVC . There is left lower lobe atelectasis . Probable right middle lobe atelectasis also . No pneumothorax . No consolidation or pleural effusion seen .
    OUTPUT:
    
Low lung volumes , otherwise unchanged appearances when compared to the prior study .