Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects 2 .3 cm from the carina . The gastric tube extends below the level the diaphragms but beyond the field of view of this radiograph . Large layering pleural effusions are unchanged in addition to bibasilar consolidations . No pneumothorax is identified . The size and appearance of the cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
No significant interval change since the prior examination .