Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 03 :01 is submitted .
    OUTPUT:
    
Endotracheal tube , nasogastric tube and right internal jugular Port - A - Cath are unchanged in position although the tip of the nasogastric tube can not be seen on this study . There is hazy opacity again noted at the right apex which does not appear to be significantly changed and could reflect some loculated pleural fluid / hemorrhage , partial upper lobe atelectasis or pneumonia . Clinical correlation is advised . Streaky opacities in the retrocardiac region most likely reflect patchy atelectasis . More focal nodular opacity now appreciated in the right mid lung may correspond to the presumed pulmonary contusion seen on the CT dated ___ , less likely aspiration . This can be assessed on follow up imaging . Left ___ and ___ posterolateral old rib fractures . No pneumothorax or pulmonary edema .