Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film dated ___ at 16 :30 is submitted
    OUTPUT:
    
Endotracheal tube has its tip 5 .5 cm above the carina . Nasogastric tube courses below the diaphragm with the tip projecting over the stomach . There are layering bilateral effusions , left greater than right , with increasing opacity at both bases , left greater than right , which may reflect worsening lower lobe atelectasis or pneumonia . Clinical correlation is advised . No pulmonary edema . No pneumothorax .