Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is rotated . Patient has been extubated . A right internal jugular central line is unchanged in position . Nasogastric tube courses below the diaphragm is incompletely imaged . Appearance of the lung parenchyma has not significantly changed . There is no pneumothorax . A small right pleural effusion has slightly decreased . The aorta remains tortuous .
    OUTPUT:
    
No significant change since the prior exam . Small right pleural effusion has slightly decreased .