Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 09 :53 is submitted .
    OUTPUT:
    
Nasogastric tube unchanged in position . Overall cardiac and mediastinal contours are stable given differences in patient positioning . There are small to moderate layering bilateral effusions , right greater than left , and worsening bilateral interstitial disease consistent with mild to moderate pulmonary and interstitial edema . Probable associated bibasilar compressive atelectasis . No pneumothorax .