Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine chest radiograph ___ at 12 :41 is submitted .
    OUTPUT:
    
Bowel jugular Swan - Ganz catheter continues to have its tip in the right lower lobe pulmonary artery in the mid lung and should be pulled back approximately 5 - 6 cm as previously recommended . The intra-aortic balloon pump has it s tip 1 .2 cm below the aortic knob . The endotracheal tube and left internal jugular central line are unchanged in position . The nasogastric tube now courses below the diaphragm with both the tip and side port seen over the proximal stomach . There has been substantial interval improvement in the bilateral airspace opacities consistent with resolving but residual edema . The pleural effusions also seen to have decreased in size . Stable cardiac and mediastinal contours . Old right - sided rib fractures again seen .