Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 05 :32 is submitted .
    OUTPUT:
    
The right subclavian PICC line , right neck vascular stent and tracheostomy tube are unchanged in position . Note that the tracheostomy tube continues to have its tip approximately 1 .5 cm above the carina . Surgical clips overlying the right axilla and right hilar region are again seen . There are layering bilateral effusions with patchy bibasilar opacities , most likely reflecting atelectasis , although pneumonia can not be entirely excluded . No evidence of pulmonary edema . Overall cardiac and mediastinal contours are unchanged . No pneumothorax .