Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube is in satisfactory position , approximately 8 cm from the carina . An enteric tube courses below the diaphragm with the tip out of the field of view . A right central venous catheter is unchanged with the tip in the low SVC . A right mid and lower lung zone opacity is not significantly changed from the prior exam , and likely reflects a combination of the known pneumonia and a right pleural effusion . A retrocardiac opacity is also not significantly changed , likely due to atelectasis and a small left pleural effusion . The apices of the lungs are clear . There is no pneumothorax . The cardiomediastinal silhouette is unremarkable . Flowing osteophytes are noted in the thoracic spine .
    OUTPUT:
    
Overall , no significant change from the prior exam .