Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 06 : 11 is submitted .
    OUTPUT:
    
A line overlying the right upper chest remains in place but is unclear as to its location . A tracheostomy tube remains in satisfactory position . There continues to be overall volume loss in the left hemi thorax with patchy opacities throughout the lung and more focal consolidation in the retrocardiac region . There is also a layering left effusion . An infectious process should as well as atelectasis should be considered . Right lung is without focal consolidation . No pulmonary edema .