Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph demonstrates an NG tube , and right upper extremity PICC in standard position . The ETT is at the level of the clavicular heads on this kyphotic film . Bilateral moderate pleural effusions appear increased . Bibasilar atelectasis appears similar . Top normal cardiac silhouette and mediastinal contours are unchanged . Mild pulmonary edema is little changed . Rib fractures are unchanged .
    OUTPUT:
    
1 . The ETT projects of the level of the clavicular heads , and a repeat film with better positioning would be helpful to assess the true ETT position of clinically indicated . 2 . Low lung volumes , with unchanged pulmonary edema and increasing moderate bilateral pleural effusions .