Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the most recent prior radiograph , there has been interval removal of bilateral chest tubes . There is no pneumothorax . There has otherwise been no significant interval change . A Swan - Ganz catheter is seen within the main pulmonary artery . Left chest wall pacemaker leads are unchanged in position . NG tube courses below the diaphragm . ET tube is unchanged in position . Again seen is retrocardiac opacity and a small left pleural effusion . There is no other focal consolidation .
    OUTPUT:
    
Removal of chest tubes with no pneumothorax . Otherwise , no significant interval change .