Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph demonstrates standard positioning of a left subclavian central venous catheter and endotracheal tube , and an NG tube which has been advanced into the stomach . Midline abdominal surgical ___ are seen , and there is an abdominal surgical drain in place . There has been interval development of bibasilar opacities , likely reflecting moderate effusions and adjacent atelectasis . The lungs are otherwise notable for severe bullous emphysema , cardiac and mediastinal contours are normal .
    OUTPUT:
    
Interval development of bilateral pleural effusions with adjacent atelectasis , on a background of severe bullous emphysema .