Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 07 :08 is submitted .
    OUTPUT:
    
Bilateral chest tubes , endotracheal tube , and left internal jugular central line are unchanged . Bilateral bronchial stents remain in place . There continue to be patchy and more confluent parenchymal airspace disease in both lungs which is not significantly changed given differences in positioning and technique . No pneumothorax is appreciated . Overall cardiac mediastinal contours are difficult to assess due to the diffuse airspace process . Mid gastric distension .