Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ 00 :44 is submitted .
    OUTPUT:
    
Right internal jugular central line has its tip in the distal SVC . There continues to be a layering left effusion with patchy associated airspace opacity which could reflect compressive lower lobe atelectasis , although pneumonia should also be considered . Overall cardiac and mediastinal contours are likely stable . A more subtle patchy opacity the right medial lung base is suggestive of atelectasis . No pulmonary edema . No pneumothorax . Multiple left - sided rib deformities consistent with remote trauma .