Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . Comparison is made to the next preceding similar examination obtained seven hours earlier during the same day . On the present portable examination , the patient is moderately turned towards the right resulting in slightly different presentation of pacer , endovascular electrodes and right - sided subclavian central venous line . Position , however , is grossly unchanged and the same holds for the ETT seen to terminate some 5 cm above the level of the carina . Remarkable is that the patient has three electrodes apparently on biventricular pacing system . Pulmonary congestive vascular pattern has not changed during the interval . There is no evidence of central pulmonary edema presently . The basal densities have somewhat shifted and are more prominent on the right base whereas the left lung base clearly identifies the normal appearing contour of the diaphragm . This can be explained by patient 's tilted position towards the right with corresponding shift of small to moderate bilateral pleural effusions .
    OUTPUT:
    
No significant interval change short of those related to patient 's postural alterations . Again , no pneumothorax is present .