Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-erect chest film ___ at 543 is submitted .
    OUTPUT:
    
Assessment of cardiac and mediastinal contours is difficult due to marked patient rotation on the current exam . The endotracheal tube is unchanged in position . Left internal jugular central line has its tip in the proximal SVC . There continue to be layering bilateral effusions with bibasilar airspace opacities likely reflecting compressive lower lobe atelectasis . In addition , there is more pronounced hazy opacity throughout both lungs which likely reflects worsening moderate pulmonary edema . No pneumothorax .