Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph of the chest demonstrates a substantial left sided pleural effusion and smaller right sided pleural effusion , both with adjacent atelectasis . The mediastinal and hilar contours are unchanged . There is no pneumothorax . A right - sided internal jugular central venous line ends at the cavoatrial junction . Endotracheal tube ends 7 .8 cm from the carina . Nasogastric tube is coiled in the stomach ; radiographically the discontinuity of this tube is likely secondary to patient motion .
    OUTPUT:
    
1 . Substantial left sided pleural effusion and smaller right sided pleural effusion , both with adjacent atelectasis . 2 . Endotracheal tube ends 7 .8 cm from the carina .