Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 11 :47 is submitted .
    OUTPUT:
    
There continue to be bilateral layering effusions with associated patchy airspace process most likely reflecting compressive atelectasis , although pneumonia can not be entirely excluded . No evidence of pulmonary edema . Due to the pleural effusions , the cardiac contour is obscured and can not be adequately assessed . Right internal jugular large bore catheter remains in place with its tip in the distal SVC near the cavoatrial junction . There is minimal symmetric biapical pleural thickening . No pneumothorax is seen .