Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi supine chest radiograph ___ at 09 : 15 is submitted .
    OUTPUT:
    
Interval removal of the right chest tube with no obvious pneumothorax , although the sensitivity to detect pneumothorax is diminished given semi supine technique . An upright or decubitus study would be more sensitive . There continue be patchy bilateral opacities throughout both lungs concerning for diffuse infection or ARDS . The right internal jugular central line , nasogastric tube , left internal jugular central line and endotracheal tube are unchanged position . Hardware overlying the thoracic spine and left brachiocephalic stent are again seen .