Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates hyperexpanded lungs with stable heterogeneous pulmonary consolidation consistent with asymmetrical pulmonary edema or pulmonary hemorrhage on a background of emphysema . Small bilateral pleural effusions , right greater than left , are unchanged . The cardiomediastinal and hilar contours are unchanged . No pneumothorax . Right - sided internal jugular central venous line ends in the upper SVC .
    OUTPUT:
    
Hyperexpanded lungs with stable heterogeneous pulmonary consolidation consistent with pulmonary edema or pulmonary hemorrhage on a background of emphysema .