Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 10 :48 , ET tube and NG tube has been removed . Otherwise , doubt significant interval change . Cardiomegaly , vascular plethora with vascular blurring , bilateral effusions and underlying collapse and / or consolidation are again seen . No pneumothorax detected .
    OUTPUT:
    
Doubt significant change compared with ___ at 10 :48