Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 22 :47 is submitted .
    OUTPUT:
    
Interval placement of feeding tube which has its tip projecting over the stomach just below the esophagogastric junction . The right internal jugular large bore catheter , left internal jugular central line and right upper quadrant catheter are unchanged in position . Overall cardiac and mediastinal contours are stable . There are layering bilateral effusions with associated patchy airspace process likely reflecting atelectasis . There is pulmonary vascular congestion with no evidence of pulmonary edema .