Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 00 : 23 is submitted .
    OUTPUT:
    
Left - sided pacer unchanged in position . Nasogastric tube courses below the diaphragm with the tip not identified on the current study . Interval removal of the right internal jugular dual - lumen catheter . Status post median sternotomy with stable postoperative cardiac and mediastinal contours . Interval appearance of bilateral diffuse parenchymal process favoring moderate pulmonary and interstitial edema ; an infectious process would be less likely . No pneumothorax , although the sensitivity to detect pneumothorax is diminished given supine technique .