Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is markedly rotated . The tip of the endotracheal tube projects over the mid thoracic trachea and the the tip of the gastric tube projects below the level the diaphragms but beyond the field of view of this radiograph . A right internal jugular central venous catheter is present . Persisting opacification of the left hemithorax , and left hemithorax volume loss . Unchanged hazy opacification over the right lung . The mediastinum is shifted leftward .
    OUTPUT:
    
No significant interval change since the prior radiograph .