Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 08 : 16 is submitted .
    OUTPUT:
    
Left internal jugular Swan - ___ catheter has its tip in the pulmonary outflow tract . Endotracheal tube continues to have its tip at the thoracic inlet approximately 5 .7 cm above the carina . A feeding tube is seen coursing below the diaphragm with the tip not identified . A left ventricular assist device remains in place . There are bilateral layering effusions , right greater than left , with patchy bibasilar opacities likely reflecting compressive atelectasis . There has been interval improvement in the pulmonary edema , although there is some residual edema on the right . Overall cardiac and mediastinal contours are unchanged status post median sternotomy . No pneumothorax .