Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 15 :53 is submitted .
    OUTPUT:
    
Right internal jugular catheter is unchanged in position . The heart remains enlarged . Mediastinal contours also appear somewhat widened but this may be related to patient rotation . Lungs are well inflated without evidence of focal airspace consolidation , pulmonary edema , pleural effusions or pneumothorax .