Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy with aortic valve replacement . A left pectoral dual lead cardiac AICD is in place . The tip of a newly placed right IJ central venous catheter projects over the SVC . There has also been interval placement of an ET tube which terminates above the carina . Mediastinal drains are in place . There is a small amount of fluid adjacent to the tip of the newly placed right lung base chest tube , which likely represents a new small hemothorax . There is no pneumothorax . New obscuration of the medial left hemidiaphragm is likely due to subsegmental atelectasis . The cardiomediastinal silhouette is magnified by the projection .
    OUTPUT:
    
Support lines and tubes in place .