Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 16 :38 is submitted .
    OUTPUT:
    
Interval decrease in lung volumes with worsening of the pulmonary edema and stable partial left lower lobe atelectasis . Layering left effusion . Right pleural catheter remains in place . Tracheostomy tube remains in satisfactory position . Right subclavian PICC line has its tip in the distal SVC near the cavoatrial junction . No pneumothorax . Overall cardiac and mediastinal contours are unchanged given differences in positioning and inspiration . Right lower posterior lateral mildly displaced rib fractures are again seen .