Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 05 : 18 is submitted .
    OUTPUT:
    
Right subclavian PICC line , endotracheal tube , right pleural pigtail catheter , and feeding tube are likely unchanged in position . There are worsening layering effusions with associated patchy airspace disease more likely reflecting atelectasis , although superimposed pneumonia can not be excluded . No evidence of pulmonary edema . The pulmonary vessels do appear somewhat cephalized which suggests pulmonary venous hypertension . No pneumothorax . Overall cardiac and mediastinal contours are likely unchanged given differences in positioning .