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 gastric tube extends below the level the diaphragms . A left central venous catheter tip again projects over the lower right atrium . No significant interval change in the appearance of the lungs given differences in technique . Persisting bilateral pleural effusions with overlying atelectasis and pulmonary edema . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
No significant interval change since the prior exam given differences in technique .