Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy and left subclavian line are in adequate position . The feeding tube has been changed since the last exam and is smaller . There is a TNG tube . Unchanged bilateral mild - to - moderate pleural effusion with compressive atelectasis . There is no pneumothorax . The cardiac contour and mediastinal contours are unchanged .
    OUTPUT:
    
There is no significant change since the last exam .