Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph again demonstrates multiple knee mediastinal clips and sternal wires , unchanged in position . A left internal jugular approach catheter is unchanged in position . There has been interval removal of endotracheal and nasogastric tubes . There is again cardiomegaly and mild pulmonary edema , which overall appears similar to the most recent chest radiograph . Bilateral pleural effusions , right greater than left , are also unchanged . No new focal consolidation or pneumothorax is identified .
    OUTPUT:
    
1 . Interval removal of endotracheal and nasogastric tubes . 2 . Unchanged moderate pulmonary edema with right greater than left pleural effusion .