Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 05 : 13 is submitted .
    OUTPUT:
    
There continue to be layering moderate to large pleural effusions , right greater than left . Evaluation of the underlying lung parenchyma is challenging , although it does appear to be more consolidative in the retrocardiac region suggesting that there is at least left lower lobe atelectasis . The cardiac and mediastinal contours are difficult to assess due to marked patient rotation on the current study . No obvious pulmonary edema or pneumothorax . Right internal jugular central line appears to have its tip in the right atrium unchanged . Left subclavian PICC line is unchanged in position . A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach . The endotracheal tube has its tip approximately 5 mm above the carina and should be pulled back 2 - 3 cm .