Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been extubated and orogastric tube has been removed . Numerous leads projecting over the chest are likely external to the patient . There may be small pleural effusions , but there is no large effusion , pneumothorax , or focal consolidation to suggest pneumonia . Hilar and cardiomediastinal contours are unchanged . There is mild vascular congestion without pulmonary edema .
    OUTPUT:
    
Interval extubation . No increase in effusion or evidence of evolving pneumonia .