Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube is difficult to identify due to overlap with orogastric tube . Orogastric tube extends to the stomach , and a right PICC to the mid SVC . Surgical clips are identified in the right axilla . Hilar and cardiomediastinal contours are unchanged . Small bilateral effusions persist , and there is mild vascular congestion without frank pulmonary edema . No definite new opacity to suggest pneumonia . No pneumothorax .
    OUTPUT:
    
Little change from one day prior . Small bilateral pleural effusions and mild vascular congestion persist .