Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi supine chest film ___ at 05 : 20 is submitted
    OUTPUT:
    
Endotracheal tube , nasogastric tube , right internal jugular central line and right subclavian PICC line are unchanged in position . There continue be layering moderate to large pbilateral leural effusions . Bibasilar patchy opacities are seen likely reflecting partial lower lobe atelectasis . There is now some peribronchial cuffing suggesting the presence of superimposed mild perihilar edema . No large pneumothorax .