Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube tip is in standard position terminating 3 .3 cm cranial to the carina . Cardiac silhouette remains moderately enlarged with mild central vascular congestion without frank interstitial edema . There is re- demonstration of layering right greater than left pleural effusions . There is no focal consolidation worrisome for pneumonia although pleural effusion obscures the lower lung fields . There is no pneumothorax .
    OUTPUT:
    
No significant change compared to prior examination with redemonstration of moderate right and small left pleural effusion . The lungs are otherwise clear although the effusions obscure the lower lung bases .