Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi supine chest on ___ at 06 : 18 is submitted .
    OUTPUT:
    
Nasogastric tube is seen coursing below the diaphragm . Endotracheal tube has its tip approximately 5 .5 cm above the carinal . A right basilar chest tube remains in place . The heart remains enlarged . There is a layering left effusion . On the right , there are several rib fractures identified , although these were better seen on prior chest CT . No definite pneumothorax is seen . There is air within the right lateral chest wall soft tissues consistent with subcutaneous emphysema . No evidence of pulmonary edema . Patchy opacity in the right mid and lower lung likely reflects atelectasis , although a superimposed infectious process can not be excluded .