Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 20 :02 is submitted .
    OUTPUT:
    
Nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach . A tracheostomy tube appears to be in place , although it is difficult to determine the location of the tip due to the projection of imaging . This will likely be better assessed on followup imaging . Multiple surgical clips are seen overlying the right upper chest and right hilum . No pneumothorax is seen . No pulmonary edema . Streaky bibasilar opacities likely reflect atelectasis . There may be small layering effusions . Overall cardiac and mediastinal contours are likely stable given differences in patient positioning between studies .