Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube terminates 3 .3 cm above the carina . The NG tube is in stomach . Right central venous catheter terminates at the cavoatrial junction . Cardiomediastinal silhouette is stable . There is no pulmonary edema . Small pleural effusions and retrocardiac atelectasis are unchanged . A pneumothorax .
    OUTPUT:
    
No substantial change compared to prior study .