Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An orogastric tube coils within the distal esophagus , the tip likely projects superiorly , not included in this examination . There is moderate interstitial edema . There is a small left - sided pleural effusion . An incompletely imaged right sided central venous catheter terminates in the right atrium . TIPS projects over the right upper quadrant . There is gastric distension .
    OUTPUT:
    
Orogastric tube coils in the distal esophagus , tip is not included in this examination .