Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The ET tube lies 3 .8 cm above the carinal . Right IJ line tip overlies distal SVC near SVC / RA junction . An orogastric tube is present with tip extending beneath the diaphragm and off the film . Inspiratory volumes are quite low , with relative elevation the right hemidiaphragm . The degree of vascular plethora , which itself is likely accentuated by low lung volumes , may be slightly worse . Otherwise , the appearance of the cardiomediastinal silhouette and lungs is similar to the prior film . Cardiomediastinal silhouette is unchanged . There is bibasilar atelectasis , likely also accentuated by low inspiratory volumes . No gross left effusion . No obvious right effusion . Allowing for low lung volumes , no focal consolidation identified .
    OUTPUT:
    
Vascular plethora may be slightly worse . Otherwise , no significant change identified compared with 1 day earlier .