Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval removal of the endotracheal tube nasogastric tube . The lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac , hilar and mediastinal silhouettes are unremarkable . The stomach is significantly distended with air and fluid .
    OUTPUT:
    
1 . The stomach is significantly distended compared to prior exam . 2 . No evidence of clavicular fracture . 3 . No acute cardiopulmonary process .