Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since prior examination there is no significant interval change . The patient is status post endotracheal tube placement which is in an unchanged low position with the tip 7 mm above the carina . There is relatively increased distention of the endotracheal retention balloon . An enteric feeding tube courses below the diaphragm coiled within the stomach . There are low lung volumes with bibasilar atelectasis . Tortuosity of the thoracic aorta and mild cardiomegaly is accentuated by severe thoracic kyphosis . There is increased pulmonary vascular engorgement without frank interstitial pulmonary edema . Partially imaged are severe degenerative changes involving the left glenohumeral joint .
    OUTPUT:
    
No significant change since ___ .