Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 18 :06 is submitted . The lung apices and the lateral most aspects of the chest are not included .
    OUTPUT:
    
Interval placement of feeding tube which has its tip projecting over the stomach . The patient is status post median sternotomy with aortic valve replacement and CABG . There continues to be mild to moderate pulmonary edema . There is layering left effusion with partial lower lobe atelectasis , although pneumonia can not be entirely excluded . Incompletely visualized right subclavian PICC line with its tip unchanged in position . A larger bore catheter is also again seen with its tip projecting over the left brachiocephalic vein .