Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 07 : 50 is submitted .
    OUTPUT:
    
Interval extubation and removal of the nasogastric tube . The right internal jugular central line remains in place unchanged . Overall cardiac and mediastinal contours remain stably enlarged despite patient rotation on the current study . There are stable patchy bibasilar opacities suggestive of atelectasis , although pneumonia can not be excluded . The left costophrenic angle is not entirely included but there is likely a layering left effusion . No evidence of pulmonary edema . No pneumothorax is appreciated .