Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP semi-erect chest film ___ at 05 :29 is submitted .
    OUTPUT:
    
The left subclavian PICC line has its tip now projecting in the azygos vein were previously it had its tip in the distal SVC . The tracheostomy tube is unchanged in position . Nasogastric tube is seen coursing below the diaphragm with the tip not identified . The overall cardiac and mediastinal contours remains stably enlarged . Given the globular configuration to the cardiac shadow , a pericardial effusion should also be considered . There is persistent but improving pulmonary edema . Layering bilateral effusions with bibasilar opacities suggest compressive atelectasis in the setting of pleural effusions . No pneumothorax .