Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Comparison is made to prior study from ___ . There is an endotracheal tube whose tip is 1 cm from the carina . This needs to be pulled back 2 to 3 cm for more optimal placement and was mentioned on the prior study as well , pointing toward the right mainstem bronchus . There is a right - sided central line with distal lead tip at the distal SVC . There is coarsening of the bronchovascular markings without focal consolidation . The visualized lung fields are grossly clear . There is a nasogastric tube whose tip is below the GE junction .
    OUTPUT:
    
1 . No interval change . 2 . The endotracheal tube is again quite low ; it could be pulled back 2 to 3 cm for more optimal placement . It is pointing towards the right mainstem bronchus . 3 . Coarsening of the bronchovascular markings without a focal consolidation , unchanged .