Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph of the chest demonstrates low lung volumes with resultant bronchovascular crowding . Bilateral pleural effusions have increased slightly over the interval . In the setting of even lower lung volumes and larger pleural effusions , mild pulmoary edema is difficult to exclude . The cardiomediastinal and hilar contours are unchanged . The endotracheal tube ends 2 .2 cm from the carina . The right - sided internal jugular central venous line ends in the right atrium . No pneumothorax . A nasogastric tube courses into the stomach and of the field of view .
    OUTPUT:
    
1 . In the setting of even lower lung volumes and larger pleural effusions , mild pulmoary edema is difficult to exclude . 2 . Endotracheal tube ends 2 .2 cm from the carina . 3 . Right - sided internal jugular central venous line ends in the right atrium .