Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea , approximately 5 .6 cm from the carina . A right internal jugular central venous catheter tip extends to the superior cavoatrial junction . Persisting bilateral small to moderate moderate layering pleural effusions with overlying atelectasis . No pneumothorax identified . The size of the cardial mediastinal silhouette is enlarged but unchanged .
    OUTPUT:
    
The tip of the endotracheal tube projects 5 .6 cm from the carina . No other significant interval change . Persisting bilateral pleural effusions and overlying atelectasis .