Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates 3 cm above the carina . Right IJ terminates in the low SVC . Left IJ terminates in the left brachiocephalic vein . Dobhoff and NG are seen coursing below the diaphragm , however the tips are not seen . Sternotomy wires appear intact and appropriately aligned . The previously visualized rounded opacity over the left first rib is no longer seen . Unchanged bilateral pleural effusions , left greater than right , with compressive atelectasis . Stable moderate postoperative enlargement of the cardiomediastinal silhouette . The pulmonary vasculature is normal . No pneumothorax is seen .
    OUTPUT:
    
1 . Unchanged appearance of lines and tubes . 2 . Previously seen rounded opacity over left first rib has not disappeared , and was likely external to the patient . 3 . Unchanged bilateral pleural effusions with compressive atelectasis .