Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with ___ at 08 : 23 , I doubt significant interval change . Again seen is the ET tube , tip approximately 4 .4 cm above the carina an NG tube the tip extending beneath diaphragm , now extending off the film . A side - port probably lies immediately distal to the GE junction . No CHF , focal infiltrate or effusion is detected . Mild scarring at both lung bases is again noted .
    OUTPUT:
    
Doubt significant interval change , compared with 1 day earlier .