Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable view of the chest was obtained . There are dual - lead left - sided pacer device with lead extending in the expected position of the right atrium and right ventricle . Midline tracheostomy is seen . There is a right subclavian central venous catheter , distal aspect not well appreciated due to the overlapping structures , but likely terminating at the cavoatrial junction / proximal right atrium . What appears to be a weighted enteric tube is seen coursing into the left upper quadrant in the expected location of the proximal stomach . The patient is status post median sternotomy and CABG . There are small - to - moderate bilateral pleural effusions with overlying atelectasis . No pneumothorax is seen . Subtle haziness of the left mid lung zone may relate to layering pleural effusion . However , ground - glass opacity , with subtle infectious process is not excluded . There appears to be a left - sided PICC , distal aspect not well seen , but likely terminating in the proximal SVC .
    OUTPUT:
    
Lines and tubes as above . Bilateral pleural effusions with overlying atelectasis . Subtle ground - glass opacity projecting over the left mid lung may be due to layering pleural effusion ; however , infectious process not entirely excluded . Attention at followup .