Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated , the tip of the endotracheal tube is difficult to visualize but is grossly unchanged compared to the prior study approximately 4 cm above the carina . A left - sided internal jugular catheter is in - situ , the tip is at the confluence of the left and right brachiocephalic veins . A nasogastric tube is in - situ , the side port is below the left hemidiaphragm . The patient is status post median sternotomy , sternotomy wires are intact . Bilateral pleural effusions are again seen , unchanged compared to the prior study . Bilateral lower lobe atelectasis also noted . There is prominence of the pulmonary vasculature , unchanged compared to the prior study . Assessment of the heart size is limited by the projection .
    OUTPUT:
    
No significant interval change compared to the prior study .