Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . The right internal jugular central venous catheter and orogastric tube under unchanged . No significant interval change in the appearance of the lungs including left lung collapse and a left pleural effusion . The mediastinum is again noted to be shifted towards the left .
    OUTPUT:
    
No significant interval change since the prior exam .