Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable semi-upright chest radiograph was obtained . Lung volumes are very low . There are moderate bilateral layering effusions . Endotracheal tube ends at the mid clavicular heads . Right internal jugular line tip remains in is unchanged position , likely in the central left brachiocephalic vein near the confluence with the SVC . An orogastric tube extends inferiorly off the film . The visualized cardiac and mediastinal contours are normal .
    OUTPUT:
    
1 . Left - sided internal jugular catheter in unchanged but atypical position . The tip may be in the bracheocepalic vein , but if the line continues to malfunciton , suggest new line placement . 2 . Moderate bilateral pleural effusions .