Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is in unchanged position , terminating in the mid thoracic trachea . A right subclavian catheter extends to the mid SVC . Left pectoral pacer with two trans - subclavian leads is unchanged . There are sternotomy wires and thoracolumbar fusion hardware , incompletely assessed . The upper lungs remain well aerated , with slight decrease in pulmonary edema . The opacities at the bases again reflect the presence of effusions . There is no opacity to suggest pneumonia . There is no pneumothorax . Hilar and cardiomediastinal contours are unchanged . Known left rib fractures are not well assessed .
    OUTPUT:
    
Stable position of support and monitoring devices . Unchanged effusions . No evidence of pneumonia or new vascular congestion .