Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval retraction of the right IJ central line which now appears to be extending into the left brachiocephalic vein . The endotracheal tube is approximately 8 cm above the carina . Bilateral layering pleural effusions are again seen . Severe cardiomegaly and persistent retrocardiac opacity opacity likely secondary to atelectasis of the left lower lobe . No pneumothorax or pulmonary edema .
    OUTPUT:
    
In comparison to the prior study from earlier the same day , the right IJ central line now appears to be extending into left brachiocephalic vein . No other significant changes compared to the prior study .