Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest from ___ at 09 : 18 is submitted .
    OUTPUT:
    
Right internal jugular central line is unchanged in position . Overall cardiacl contour remains stably enlarged likely reflecting cardiomegaly , although pericardial effusion should also be considered . Patchy bibasilar opacities are again seen which may reflect atelectasis , pneumonia or aspiration . Clinical correlation is advised . Low lung volumes with crowding of the vasculature and no overt pulmonary edema . No pneumothorax . The right pleural effusion appears smaller but this may be related to differences in positioning .