Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right - sided central venous catheter seen with tip in the mid SVC . Endotracheal tube tip is 4 .5 cm from the carina . Enteric tube passes below the field of view . Retrocardiac opacity silhouetting the hemidiaphragm likely in part due to an effusion with atelectasis . Right sided pleural effusion is also suspected with adjacent atelectasis . Cardiac enlargement is similar compared to prior .
    OUTPUT:
    
No significant interval change . Support tubes and lines as above .