Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP supine chest radiograph ___ at 08 :21 is submitted .
    OUTPUT:
    
The right internal jugular Swan - Ganz catheter continues to have its tip in the right lower lobe pulmonary artery . Pull - back of 4 - 5 cm would be recommended . The nasogastric tube courses below the diaphragm with the tip not identified but the side port at the gastroesophageal junction . Advancement of this tube is also recommended . The endotracheal tube , left internal jugular central line , and intra-aortic balloon pump are unchanged in position . Overall cardiac and mediastinal contours are stable . Diffuse bilateral airspace process is unchanged . There may be layering pleural ffusions .