Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 07 : 56 is submitted .
    OUTPUT:
    
Endotracheal tube has its tip approximately 4 cm above the carina . A nasogastric tube is seen coursing below the diaphragm with tip not identified . Right internal jugular central line and right - sided pigtail pleural catheter remain in place . Interval removal of the left - sided pacemaker . The heart remains enlarged , although mediastinal contours are difficult to assess due to patient rotation . There are likely layering effusions , left greater than right . Retrocardiac consolidation most likely reflects partial lower lobe atelectasis , although superimposed infection can not be excluded . No pneumothorax .