Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 05 : 18 is submitted .
    OUTPUT:
    
Bilateral lower lobe collapse and right lateral loculated pleural abnormality are likely not significantly changed since ___ given differences in inspiration . There are layering bilateral effusions . No pulmonary edema . Overall cardiac and mediastinal contours are stable . Endotracheal tube continues to have its tip 3 cm above the carina . A large bore left internal jugular catheter and right internal jugular catheter are unchanged in position . A nasogastric tube is seen coursing below the diaphragm with the tip not identified . No pneumothorax .