Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the recent study of 1 day earlier , left internal jugular vascular catheter is been placed , terminating in the proximal superior vena cava , with no visible pneumothorax . Exam is otherwise unchanged in the extent of pulmonary edema and small bilateral effusions . Tracheostomy in good position .
    OUTPUT:
    
No significant interval change .