Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest film ___ at 21 :08 is submitted .
    OUTPUT:
    
The heart remains enlarged which may reflect cardiomegaly although a pericardial effusion can not be excluded . Left subclavian PICC line remains unchanged in position with its tip at the cavoatrial junction . Bilateral parenchymal process with more consolidative components in both lung bases likely reflects a combination of pulmonary edema , pneumonia and or pulmonary hemorrhage . Overall , the edema may have slightly improved . Clinical correlation is recommended . There is likely a layering left effusion . No large pneumothorax is seen , although the sensitivity to detect pneumothorax is diminished given supine technique .