Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in semi-upright position . Comparison is made with the next preceding similar study of ___ . A previously identified NG tube is again noted reaching below the diaphragm . The patient is moderately rotated to the left , which explains the heart 's unusual presentation to the left of spinal column . At least moderate cardiac enlargement is present as it was before . The left - sided diaphragm is obliterated suggesting the possibility of an atelectasis . Finding existed already on the previous examination . General haze mostly over the pulmonary basal vasculature is suggestive of pleural effusions layering in the dependent portions of the posterior pleural sinuses . A previously existing and described right internal jugular approach central venous line remains in place .
    OUTPUT:
    
Technically suboptimal chest examination , but significant cardiomegaly persists . Probably pleural effusions bilateral in this patient examined in recumbent position . No conclusive evidence for new acute infiltrates . Observed that patient on next preceding chest CT of ___ had positive findings for pulmonary embolism .