Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ETT terminates 6 cm above the carina . There is a right IJ that terminates at the cavoatrial junction . There is an NG tube that courses below the diaphragm , however the tip is not visualized on this image . The bilateral pleural effusions , and bilateral vascular congestion appears unchanged in comparison to the prior chest radiograph . Heart size is stable . The mediastinal and hilar contours are stable . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Appropriate positioning of the ET tube , right IJ , and NG . 2 . Unchanged appearance of bilateral pleural effusions and vascular congestion due to congestive heart failure .