Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 04 :00 is submitted .
    OUTPUT:
    
Endotracheal tube , nasogastric tube , right internal jugular central line , right subclavian dual lumen catheter are likely unchanged in position . Interval decrease in lung volumes with worsening patchy opacities throughout both lungs , left lower lobe greater than other lobes , with associated layering effusions , left greater than right . Findings would be concerning for worsening pulmonary edema but a worsening infectious process such as pneumonia or aspiration should also be considered as the airspace process is more focal in the left lower lung . Clinical correlation is advised . No pneumothorax .