Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Dialysis catheter again seen terminating in the region of the right atrium . Midline sternotomy wires and mediastinal clips are again noted . A PEG tube projects over the left upper quadrant . Clips are noted in the right upper quadrant . Bilateral pigtail chest tubes are in place as on prior . Tracheostomy tube projects over the superior mediastinum . Cardiomegaly is unchanged . There is mild retrocardiac opacity which appear similar to prior and may represent left lower lobe consolidation with possible small effusion . Right lung is grossly clear without significant pleural effusion . Hila appear somewhat congested . No frank pulmonary edema . No pneumothorax . Bony structures are intact .
    OUTPUT:
    
Lines and tubes in place . Retrocardiac opacity may represent persistent pneumonia and small pleural effusion .