Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 15 :59 is submitted .
    OUTPUT:
    
Stable cardiac and mediastinal contours . There continues to be a layering right effusion and a smaller left effusion with associated bibasilar airspace opacities likely reflecting partial lower lobe atelectasis , although pneumonia can not be excluded . Incidental note is made of an azygos lobe . Endotracheal tube has its tip at the thoracic inlet approximately 6 .5 cm above the carina . A nasogastric tube is seen coursing below the diaphragm with the tip not identified . No pneumothorax .