Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient remains intubated . The nasogastric tube appears to end in the distal esophagus . A right internal jugular catheter terminates in the mid superior vena cava . The chest is hyperinflated with an attenuated appearance of lung markings in the upper lungs most suggestive of emphysema . There are persistent opacities in both lower lungs , more extensive on the left than the right . Small effusions are suspected .
    OUTPUT:
    
Persistent focal opacities at the lower lobes that persist , compatible with atelectasis although pneumonia is not excluded . Small suspected pleural effusions .