Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The NG tube terminates slightly beyond GE junction . The pacemaker leads are in the correct position . Focal opacity within the left apex is again seen and appears slightly better compared to previous exams . No new consolidation . No pulmonary edema . No pleural effusion . No pneumothorax . The heart is enlarged but unchanged . The mediastinum is normal . No fractures .
    OUTPUT:
    
1 . The NG tube terminates slightly beyond GE junction . 2 . Grossly unchanged exam , with slightly improved left apical opacity .