Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . An orogastric tube terminates in the left upper quadrant . There is a left arm PICC line with its tip residing in the low SVC . Hazy lower lung opacities likely reflect layering effusions with probable subjacent atelectasis . There has been slight improvement in aeration compared with the prior exam with previously noted airspace consolidations appearing less conspicuous . The mid-upper lungs appear well - aerated . There is no pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact .
    OUTPUT:
    
PICC line and orogastric tubes in appropriate position . Improving aeration in the lower lungs with persistent layering effusions and adjacent lower lobe atelectasis .