Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in supine position . Comparison is made with the next preceding similar study obtained five hours earlier during the same day . The ETT terminates in the trachea some 5 cm above the level of the carina . Apparently , it has been adjusted . Unchanged position of previously described right internal jugular approach central venous line . No pneumothorax can be identified in the apical areas . Marked cardiac enlargement including prominence of left atrial contours persist . Pulmonary congestive pattern as before with perivascular haze . Supine position with layering pleural effusion posterior compartments of pleural space may account for increasing diffuse haze in the lung fields . No evidence of new discrete local parenchymal infiltrates are seen .
    OUTPUT:
    
Unremarkable ETT position following adjustment . Persistent marked cardiomegaly with pulmonary congestion , bilateral pleural effusions in this patient in supine position .