Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lordotic positioning . ET tube tip lies at the lower level the clavicular heads , approximately 7 .2 cm above the carina . An NG tube is present , tip over gastric fundus . A left sided Port - A - Cath tip overlies the right atrium . Multiple leads overlie the chest . Again seen are increased interstitial markings diffusely in both lungs and also confluent opacities , most pronounced in the right upper and right infrahilar regions and in the left mid zone and retrocardiac region . These are similar to the prior study . A right pleural effusion is slightly larger . The left effusion is similar to the prior study .
    OUTPUT:
    
ET tube tip as described above . Right pleural effusion slightly larger . Otherwise , doubt significant interval change .