Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present at the level of the mid clavicular heads , approximately 8 .5 cm above the carina , similar to the prior film . Right IJ Swan - Ganz catheter is present , tip overlying proximal right pulmonary artery . Multiple cardiac support devices are similar in configuration . The cardiomediastinal silhouette is enlarged , but similar to prior . There is vascular plethora and hazy opacity consistent with CHF . Probable small right effusion . There is increased retrocardiac density , consistent with left lower lobe collapse and / or consolidation , unchanged . Left costophrenic angle is obscured by the LV assist device --___ small left effusion can not be excluded . No pneumothorax is detected .
    OUTPUT:
    
Overall appearance is similar to the prior study . CHF , with small right and question small left effusion . Left lower lobe collapse and / or consolidation . Multiple lines , tubes , and cardiac support devices , with note made that the ET tube lies at the level of the clavicular heads . No pneumothorax detected .