Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the right internal jugular central venous catheter projects over the cavoatrial junction . The sternotomy wires are intact . Unchanged large left lateral and basal pleural effusion with subjacent atelectasis . Minimal atelectasis is noted at the right lung base . No pulmonary edema or pneumothorax identified . The size of the cardiac silhouette is unchanged .
    OUTPUT:
    
No significant interval change since the prior examination .