Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 5 cm above the carina . A right subclavian catheter terminates in the mid to lower SVC . Nasogratric tube terminates in the gastric fundus . As compared to prior chest radiograph , there has been no significant change . Cardiomediastinal and hilar contours are within normal limits . Lungs are essentially clear . Note is made of a small granuloma in the lateral aspect of the left upper lung . There are no pleural effusions or pneumothorax .
    OUTPUT:
    
No radiographic evidence of an acute cardiopulmonary process .