Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT is in standard position . An epidural catheter projects over the midline and mid thoracic vertebrae . Right - sided dual lead cardiac device appears intact with 1 tip in the right atrium and the other in the right ventricle . Right internal jugular venous catheter tip ends in the upper SVC . No pneumothorax . Lung volumes are low . Retrocardiac opacity is unchanged . The heart size is normal . The mediastinum is not widened . No frank pulmonary edema or pleural effusion . Bilateral apical pleural thickening is overall unchanged .
    OUTPUT:
    
ETT in standard placement . Otherwise , no significant interval change .