Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest film ___ at 07 :43 is submitted .
    OUTPUT:
    
Endotracheal tube has its tip approximately 2 .3 cm above the carina . Nasogastric tube is seen coursing below the diaphragm with the tip not identified . Right internal jugular central line has its tip in the distal SVC . The left subclavian central line has its tip at the cavoatrial junction . There continue be layering bilateral effusions with patchy bibasilar airspace opacities suggestive of atelectasis , although pneumonia can not be entirely excluded . Overall cardiac and mediastinal contours are difficult to assess given patient rotation . No pulmonary edema . No pneumothorax is appreciated .