Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 05 : 10 is submitted .
    OUTPUT:
    
Endotracheal tube continues to have its tip 5 .5 cm above the carinal . Nasogastric tube is seen coursing below this diaphragm with the tip projecting over the stomach . Left internal jugular central line , right internal jugular central line and right subclavian PICC line are unchanged in position . Cardiac and mediastinal contours are stably enlarged . There are moderate to large bilateral layering pleural effusions and increasing perihilar fullness and vascular indistinctness suggestive of mild to moderate pulmonary edema . Bibasilar airspace opacities likely reflect compressive lower lobe atelectasis given the effusions . No obvious pneumothorax , although the sensitivity to detect pneumothorax is diminished given supine technique .