Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube tip terminates 4 .6 cm above the carina . The right IJ central line terminates at the cavoatrial junction , which could be positional in nature . No change the positioning of the left IJ dialysis line . Interval placement of bilateral chest tubes . New orogastric tube courses below the left hemidiaphragm and out of view . Persistent small left pleural effusion . Mild pulmonary edema . Cardiomediastinal silhouette is unchanged , though prominent . Left hemidiaphragm tenting and left lower lobe consolidation is also grossly unchanged since the earlier study . Median sternotomy wires have been removed No evidence of pneumothorax .
    OUTPUT:
    
Post interval sternal washout . Small left pleural effusion persists . Mild pulmonary edema .