Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates stable massive bilateral widespread parenchymal opacities . There is a new small right - sided pleural effusion with adjacent atelectasis . Cardiomediastinal and hilar contours are unchanged . The endotracheal tube ends 3 .7 cm from the carina . The right - sided subclavian central venous line ends at the cavoatrial junction . A nasogastric tube courses into the stomach and out of field of view .
    OUTPUT:
    
1 . New small right - sided pleural effusion with adjacent atelectasis . 2 . Stable massive bilateral widespread parenchymal opacities .