Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 13 : 17 is submitted .
    OUTPUT:
    
Interval intubation with the endotracheal tube having its tip approximately 4 cm above the carinal . Interval placement of nasogastric tube with its tip projecting over the stomach . Left - sided pacer and right - sided Port - A - Cath unchanged in position . Bilateral parenchymal process is unchanged being more consolidative in the right upper lung and left lower lung . No pneumothorax . Probable left layering effusion . Overall cardiac and mediastinal contours are difficult to assess due to the diffuse parenchymal process .