Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea . The gastric tube courses below the level the diaphragms but beyond the field of view of this radiograph . The tube right internal jugular central venous lines are unchanged in position . Please note the right costophrenic angle and right lateral hemithorax are not included on this x-ray . There are persistent bilateral layering pleural effusions with bibasilar atelectasis . No pneumothorax identified . The size the cardiomediastinal silhouette is enlarged but unchanged .
    OUTPUT:
    
The right lateral aspect of the chest is not included on this radiograph . The visualized thorax demonstrates no significant interval change since the prior study .