Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph ___ at 08 : 12 is submitted .
    OUTPUT:
    
Left PICC line unchanged in position . TAVR and seen . Hardware overlying the upper thoracic spine . Since ___ , there is improving aeration in the lungs . There continue be layering small bilateral effusions with residual patchy opacities suggestive of atelectasis . No evidence of pulmonary edema . No obvious pneumothorax . Multiple old left - sided rib fractures .