Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since most recent radiograph , there is no significant interval change . Again seen is bilateral pleural effusion and atelectasis , not significantly changed from prior . The ET tube now terminates approximately 2 .5 cm from the carina , which may be due to patient positioning . Otherwise , there is no appreciable change in support lines . Sternotomy wires and surgical clips are in place .
    OUTPUT:
    
No significant interval change .