Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph of the chest demonstrates low lung volumes , which results in bronchovascular crowding . The heart is markedly enlarged , which is exacerbated by supine positioning . Small right pleural effusion with adjacent atelectasis appears have increased slightly over the interval , which also may be in part due to positioning . Left basilar atelectasis is slightly improved . A left - sided pleural drainage catheter is present . A left - sided subclavian central venous line ends in the mid SVC . The nasogastric tube courses into the stomach and out of the field of view . The endotracheal tube ends 4 .2 cm from the carina . No pneumothorax . Multiple left - sided rib fractures are again seen .
    OUTPUT:
    
1 . Unremarkable position of monitoring and support devices , as described above . 2 . Small right pleural effusion and adjacent atelectasis have progressed slightly over the interval , while there has been slight improvement of left basilar atelectasis .