Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip approximately 3 .8 cm above the carina . An NG tube is present -- tip and side - port extent beneath the diaphragm , with tip extending off the film . Right IJ central line tip overlying proximal SVC . No pneumothorax detected . Multiple clips are again seen overlying the upper mediastinum . The cardiomediastinal silhouette appears prominent , similar to the prior film . Relative opacity in the region of the azygos vein is similar to the prior study . There appear to be small to moderate - sized bilateral effusions , with underlying collapse and / or consolidation , similar to the prior film . There is vascular plethora , slightly more than the prior study , suggesting mild CHF , though this could also be due redistribution from bibasilar collapse / consolidation . Opacity in the region of the splenic flexure presumably represents residual oral contrast in the colon . Has there been a recent administration of oral contrast .
    OUTPUT:
    
Compared to the prior film , there appears to be increased vascular plethora , which could reflect increased CHF . Please see comments above . Cardiomegaly and increased opacity in the right paratracheal / azygos vein region is unchanged . Bibasilar collapse and / or consolidation and bilateral effusions are similar prior . Lines and tubes as described . Clips noted over upper mediastinum , unchanged . Oral contrast noted in splenic flexure .