Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube has been removed . Dobbhoff or other orogastric tube is present , extending beneath the diaphragm , beyond the inferior exam of the film . The patient is status post sternotomy . There is a left - sided dual lead pacemaker with lead tips over the right atrium and right ventricle . A tricuspid valve annuloplasty ring is noted . Enlargement of the cardiac silhouette is similar to the prior study . The left hemidiaphragm is slightly elevated , arguably more so than on the prior film . However , although there is retrocardiac patchy opacity , it is is similar and probably very slightly improved compared with the prior study . Mild right - greater - than - left upper zone redistribution and minimal patchy opacity , question atelectasis , are seen in the cardiophrenic region , similar to the prior study . No pneumothorax detected . No gross effusion .
    OUTPUT:
    
Interval removal of ET tube . Probable slight interval improvement in left lower lobe collapse and / or consolidation . Otherwise , no significant interval change .