Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 12 : 13 is submitted .
    OUTPUT:
    
Endotracheal tube now lies approximately 8 cm above the carina and should be advanced approximately 3 - 4 cm to place the tip at the thoracic inlet . Right internal jugular central line and left internal jugular central line are unchanged in position . Right PICC line terminates in the mid axillary region . There are layering bilateral effusions , left much greater than right . There is persistent consolidation in the retrocardiac region as well as patchy opacity at the right base which would be consistent with partial lower lobe atelectasis , although superimposed pneumonia can not be excluded . Mild pulmonary edema has improved . Overall cardiac and mediastinal contours are stable . .