Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . An endotracheal tube , orogastric tube , and left PICC are unchanged in position . Again seen are widespread pulmonary opacities , unchanged since the ___ examination . A new small right pleural effusion is present . There is no pneumothorax .
    OUTPUT:
    
New small right pleural effusion . Widespread bilateral pulmonary opacities are unchanged since ___ .