Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest ___ at 09 :05 is submitted .
    OUTPUT:
    
Interval extubation . The left subclavian PICC line is unchanged in position . There continues to be diffuse bilateral pulmonary process which is without significant interval change . No pneumothorax . Cardiac and mediastinal contours can not be adequately assessed to the diffuse airspace disease .