Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 05 :25 is submitted .
    OUTPUT:
    
Endotracheal tube , left internal jugular central line and dual lumen right internal jugular central line are unchanged in position . Interval removal of the right subclavian central line . A nasogastric tube is seen coursing below the diaphragm with tip not identified . The heart remains stably enlarged . There is a stable diffuse bilateral airspace process which could reflect pulmonary edema , pneumonia or ARDS . Clinical correlation is recommended . No obvious pneumothorax is seen , although the sensitivity to detect pneumothorax is diminished given supine technique .