Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable semi-erect frontal chest radiograph again demonstrates an endotracheal tube terminating in the mid thoracic trachea , enteric tube extending below the diaphragm and off the inferior edge of the image , and right internal jugular line terminating in the mid to low SVC , all unchanged . The heart is normal in size . The lungs remain hyperinflated , with bilateral small pleural effusions with associated atelectasis and moderately severe edema , unchanged . A subtle parenchymal abnormality of the right upper lobe is also unchanged . There is no pneumothorax .
    OUTPUT:
    
Unchanged bilateral pleural effusions with associated atelectasis and moderately severe edema , and possible concurrent right upper lobe pneumonia