Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 10 : 20 is submitted .
    OUTPUT:
    
Right subclavian PICC line , tracheostomy tube , vascular stents are unchanged . There are layering bilateral effusions with associated bibasilar airspace disease , left greater the right tube which is also unchanged . Overlying the right mid clavicle is a more prominent soft tissue asymmetry which may represent an enlarging hematoma or be related to the recent reconstructive surgery given differences in positioning . Clinical correlation is advised . The perihilar vasculature is slightly more prominent which raises the possibility of superimposed mild interstitial edema . Again , clinical correlation would be recommended . No pneumothorax .