Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 08 :37 is submitted .
    OUTPUT:
    
Nasogastric tube seen coursing below the diaphragm with the tip not identified . Right internal jugular central line , endotracheal tube , and dual lead left - sided pacer unchanged in position . Overall cardiac and mediastinal contours are stable . There are layering bilateral effusions with bibasilar patchy opacities suggestive of atelectasis , although pneumonia can not be entirely excluded . Patchy opacities in the right lung are essentially stable and are concerning for an infectious process . Clinical correlation is recommended . No pneumothorax .