Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-erect chest film ___ at 05 : 19 is submitted .
    OUTPUT:
    
Right internal jugular central line continues to have its tip in the right atrium . An endotracheal tube has its tip approximately 5 cm above the carina . A nasogastric tube is seen coursing below the diaphragm with the tip not identified . Increasing patchy bibasilar opacities which may reflect worsening atelectasis , although pneumonia or aspiration should also be considered . Clinical correlation is advised . Probable layering small effusions . No evidence of pulmonary edema . No pneumothorax is appreciated . Overall cardiac and mediastinal contours are stable .