Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable AP view of the chest was provided . The patient is intubated with the tip of the endotracheal tube poorly visualized . The NG tube courses inferiorly though the tip is not clearly visualized . Left upper extremity PIC line is in unchanged and appropriate position . Midline sternotomy wires and spinal fixation hardware again noted with skin ___ along the body wall . There are bilateral pleural effusions with bibasilar opacities which could represent either atelectasis or pneumonia , or a combination . The mid upper lungs appear well aerated . Overall , heart size is difficult to assess due to patient rotation , though appears grossly unchanged . Bony structures are intact .
    OUTPUT:
    
Bilateral pleural effusions appear slightly increased with associated lower lung opacities which could represent atelectasis and / or pneumonia .