Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The bulk of the stomach is herniated into the right hemithorax and massively distended with air . Compared to the scout radiograph on the ___ Torso CT from ___ , the distension of the subdiaphragmatic portion once equally severe has improved a little after placement of enteric tube ending in the debris filled distal stomach in the left upper quadrant . The abrupt tapering of the subdiaphragmatic stomach , the absence of bowel gas more distally in small or large gut , and the interim emptying of colonic gas indicate obstruction in the region of the pylorus , by stricture , volvulus , adhesion , abscess , or mass . Aside from the right lower lung atelectasis due to the herniated stomach , the lungs are grossly clear . There is no appreciable pleural effusion or pneumothorax . The thoracic aorta is calcified and tortuous . Cardiomegaly and pulmonary hypertension are well depicted in the Torso CT . Vascular clips in the right upper quadrant suggest prior cholecystectomy .
    OUTPUT:
    
1 . No free gas in the upper abdomen . 2 . Severe outlet obstruction of largely herniated , severely distended stomach . 3 . Some decompression over 6 hours by indwelling esophagogastric tube of the abdominal portion of the stomach . 4 . Cardiomegaly , pulmonary hypertension . 5 . No pneumonia or other evidence of aspiration .