Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 01 :15 and allowing for considerable differences in technique , no gross change is identified . ET tube is slightly higher , now 5 .6 cm above the carina . Right IJ Swan - Ganz catheter is present , similar in configuration . NG type tube present , extending beneath diaphragm , off film . Left IJ central line tip lies at the level of the cavoatrial junction . Enlarged cardiomediastinal silhouette is similar in configuration . There is upper zone redistribution and diffuse vascular blurring , probably with some atelectasis in the right upper zone , abutting the minor fissure . There are small bilateral effusions with underlying collapse and / or consolidation , also similar on the prior film . Biapical pleural thickening is again noted . Multiple clips again noted overlying the right scapula .
    OUTPUT:
    
ET tube is slightly higher , 5 .6 cm above the carina . Otherwise , the overall appearance is similar . Small bilateral pleural effusions are similar in configuration to the most recent prior film .