Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube and enteric tube are unchanged in position . The lungs are well expanded without focal consolidation concerning for pneumonia , pleural effusion or pneumothorax . There is no pulmonary vascular congestion or interstitial edema . The cardiomediastinal and hilar contours are within normal limits . No acute osseous abnormality is detected .
    OUTPUT:
    
No interval change in the appearance of the chest .