Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . A right internal jugular central venous catheter projects over the distal SVC . No significant interval change in size of the right pleural effusion . No pneumothorax identified . The left lung is clear . The size and appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
No significant interval change since the prior radiograph .