Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube ends 5 .9 cm above the carina and is in stable position . An esophageal tube ends below the field of view . The cardio mediastinal silhouettes are stable . Again , lung volumes are low . The lungs are clear . There is no evidence of large pleural effusion or pneumothorax . Right third rib fracture is again noted .
    OUTPUT:
    
No significant change from the prior exam .