Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New esophageal ube loops and ends within the thorax , likely within a large hiatal hernia . Otherwise there is no significant change compared with the previous exam . The endotracheal tube ends 2 .6 cm above the carina . A right sided IJ line ends in the upper to mid SVC . A right - sided PICC ends in the lower SVC . There is no evidence of pneumothorax . No focal opacities concerning for pneumonia identified . No pleural effusion is identified . Previous right costophrenic angle vague opacity has cleared and it was most likely due to positioning . There is no pneumothorax . Cardiomediastinal and hilar contours are unremarkable .
    OUTPUT:
    
New esophageal tube ends above the diaphragm , likely within a large hiatal hernia . Otherwise unchanged from recent exam . No evidence of pleural effusion or pneumothorax .