Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright and lateral views of the chest provided . Nasogastric tube is in place with its tip outside of the imaged field . A left upper extremity PICC line is seen with its tip residing in the low SVC , unchanged . Bilateral pleural effusions are increased from the prior exam and are moderate in overall size with associated basilar atelectasis . Please note underlying infection / aspiration can not be excluded . Heart size can not be assessed . Mediastinal contour stable . No pneumothorax is seen . Bony structures appear intact .
    OUTPUT:
    
NG tube positioned appropriately . Moderate bilateral pleural effusions with probable compressive lower lobe atelectasis . PICC line unchanged in position .