Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP supine view of the chest was obtained . Endotracheal tube projects 4 .2 cm above the carina . A right internal jugular central venous catheter is present with the tip in the mid SVC . Nasogastric tube is subdiaphragmatic . There is diffuse opacification of bilateral lungs with a perihilar predominance but also extensively extending into the upper and lower lung zones . Scattered air bronchograms are also noted . Accounting for changes related to technique and positioning , heart is mildly enlarged . Mediastinal contour is notable for venous engorgement and extensive aortic calcifications . Small to moderate bilateral pleural effusions . No pneumothorax .
    OUTPUT:
    
1 . Appropriate positioning of lines and tubes . 2 . Severe diffuse bilateral pulmonary edema and small to moderate bilateral effusions .