Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-erect chest film ___ at 06 :07 is submitted .
    OUTPUT:
    
Right subclavian PICC line , right carotid vascular stent and tracheostomy tube unchanged in position . The tracheostomy tube continues to have its tip approximately 1 .5 cm above the carina . Surgical clips are again seen overlying the right axilla and right hilar region in this patient status post reconstructive surgery . There are layering bilateral effusions with stable retrocardiac consolidation and patchy opacity at the right base likely reflecting partial lower lobe atelectasis . No pneumothorax is seen . Overall cardiac and mediastinal contours are stable .