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 superior cavoatrial junction . The tip of the endotracheal tube projects 3 .9 cm above the carina . A gastric tube projects below the level of the hemidiaphragm but beyond the field of view of this radiograph . Unchanged opacification of the left hemithorax reflecting combination of a pleural effusion and atelectasis / consolidation . No focal consolidation , pleural effusion or pneumothorax in the right lung . Unchanged appearance of the right mediastinal border .
    OUTPUT:
    
No significant interval change since the prior exam .