Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 03 : 20 is submitted .
    OUTPUT:
    
Left subclavian PICC line unchanged in position . There are layering bilateral effusions which are likely unchanged given differences in positioning . Patchy opacities throughout both lungs are also stable and may reflect areas of atelectasis , although an infectious process can not be excluded . No pulmonary edema . No pneumothorax . Stable cardiac and mediastinal contours . Radiopaque coils in the left upper quadrant . Incompletely visualized TIPS stent .