Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube ends 4 .7 cm above carina . Right jugular line is in the lower SVC and NG tube is in the stomach . Bilateral severe pleural effusions and left lower lobe atelectasis are stable . Bilateral moderate pulmonary edema is also unchanged .
    OUTPUT:
    
There is no significant change since prior exam .