Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again , the patient is somewhat rotated . An endotracheal tube is in - situ , the tip terminates 6 .5 cm above the level the carina . A Swan - Ganz catheter is in - situ , the tip is likely in the right main pulmonary artery . A chest tube and what appears to be a mediastinal tube are unchanged in position . A nasoenteric tube is seen to lie below the left hemidiaphragm , likely positioned in the stomach or duodenum . A breast prosthesis partially obscures the left hemi thorax . The widened mediastinum is unchanged . No definite pleural effusion seen . No pneumothorax seen .
    OUTPUT:
    
No significant interval change when compared to the prior study .