Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 05 :02 is submitted .
    OUTPUT:
    
Single lead left - sided pacer is unchanged position . Interval placement of a right internal jugular dual bore catheter with its tip in the distal SVC near the cavoatrial junction . Worsening pulmonary and interstitial edema . Bibasilar pleural effusions with associated opacity suggestive of compressive atelectasis . No pneumothorax is appreciated . Overall cardiac and mediastinal contours are likely unchanged given differences in positioning .