Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No significant interval change . Multiple bilateral regions of focal opacification , worse on the right , are minimally changed from the prior exam . Background chronic scarring and emphysema . Cardiomediastinal silhouette is unchanged . The right internal jugular venous catheter ends in the mid SVC , unchanged . ETT in standard position . Nasogastric tube courses along the midline but distally is not visualized on this image . Bilateral pleural effusions are unchanged .
    OUTPUT:
    
No significant interval change .