Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval removal of the endotracheal and gastric tubes . The tip of the right internal jugular central venous catheter projects over the right atrium and that of the Swan - Ganz catheter projects over the pulmonary outflow tract . Unchanged small to moderate left pleural effusion with subjacent atelectasis . A small layering right pleural effusion appears unchanged . No pneumothorax identified . The size and appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
Interval removal of the endotracheal and gastric tubes . Unchanged small to moderate left pleural effusion with subjacent atelectasis as well as a small layering right pleural effusion .