Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 05 :03 is submitted .
    OUTPUT:
    
Feeding tube is seen coursing below the diaphragm with the tip not identified . The left internal jugular central line is unchanged in position with its tip in the proximal right atrium . Stable bilateral diffuse parenchymal process in the setting of layering bilateral effusions likely reflects severe pulmonary edema ; diffuse infection can not be excluded . Due to the diffuse parenchymal process , cardiac mediastinal and contours can not be assessed . No obvious pneumothorax , although the sensitivity to detect pneumothorax is diminished given semi-erect technique .