Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 05 :55 is submitted .
    OUTPUT:
    
Tracheostomy tube and feeding tube remain in place . Right subclavian PICC line is unchanged in position . Overall cardiac and mediastinal contours are stable . There continue be layering bilateral effusions with retrocardiac consolidation consistent with partial lower lobe atelectasis , although pneumonia can not be excluded . The degree of superimposed pulmonary edema has somewhat improved . No pneumothorax .