Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral chest tubes are unchanged in position . An endotracheal tube is seen 2 .7 cm from the carina . The right central line ends at the atriocaval junction . A feeding tube is in place with the tip out of the field of view . In comparison to the prior radiograph , there are lower lung volumes which is likely due to acquisition of the image in a different phase of the respiratory cycle or decrease in PEEP . As a consequence , the right and left lower lobe opacities appear slightly larger , but are likely unchanged in size . There is a small left pleural effusion . There is no pneumothorax . The previously seen deep sulcus sign is not present . Again noted are rib fractures of the seventh and eighth right ribs .
    OUTPUT:
    
Decreased lung volumes with no significant change in the right and left lower lobe opacities .