Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ , the ET tube and NG tube have been removed . A left subclavian line tip overlies the distal SVC . Mild prominence of the cardiac silhouette is probably is unchanged , allowing for differences in positioning and technique . There is upper zone redistribution and mild vascular plethora , without overt CHF . Minimal atelectasis at both bases again noted . No frank consolidation identified . Minimal blunting of the right costophrenic angle is also similar to the prior film . Small left pleural effusion no longer seen . There are bilateral spinal fixation rods . There are fractures of the least to right chest wall ribs laterally , also unchanged . One appears healed , the other could be acute or subacute . An old healed right mid clavicular fracture is again noted .
    OUTPUT:
    
1 . Interval removal of ET tube and NG tube . 2 . Mild vascular plethora and bibasilar atelectasis , with tiny right effusion . However , overall , the appearance is similar to the prior film .