Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Again seen is a right internal jugular central line at the cavoatrial junction . A nasogastric tube courses into the stomach . Drains are present over the left hemithorax . Compared to the prior radiograph , there has been no change in the appearance of the lung parenchyma . The cardiomediastinal silhouette is also stable . There is a layering left effusion , similar to the prior exam .
    OUTPUT:
    
No change compared to the prior study .