Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates low lung volumes with resulting bronchovascular crowding . Stable substantial left - sided pleural effusion and smaller right - sided pleural effusion , both with adjacent atelectasis are unchanged from radiograph earlier today . Mediastinal and hilar contours are unchanged . No pneumothorax . Right - sided internal jugular central venous line ends in the cavoatrial junction . Endotracheal tube ends 7 cm from the carina . Nasogastric tube is seen coursing into the stomach and out of field of view . Gaseous distension of the stomach is present .
    OUTPUT:
    
1 . Stable - appearing substantial left - sided pleural effusion and small right - sided pleural effusion , both with adjacent atelectasis . 2 . Endotracheal tube ends 7 cm from the carina .