Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . A gastric tube is present , the tip projecting over the stomach . A right internal jugular central venous catheter extends into the midportion of the SVC . Unchanged opacity in the right peritracheal region and around the right hilum . The right costophrenic angle is not included on these radiographs . No pneumothorax identified . Small left pleural effusion . The appearance of the cardiac silhouette is unchanged .
    OUTPUT:
    
No significant interval change since the radiograph from earlier today .