Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the midthoracic trachea . The tip of the nasogastric tube projects over the distal esophagus and should be advanced by at least 10 cm in order to place the side port beyond the GE junction . Unchanged elevation of the left hemidiaphragm . A large hiatal hernia is noted . A small left pleural effusion is unchanged . No pneumothorax identified . No focal consolidation or pleural effusion of the right lung .
    OUTPUT:
    
The tip of the nasogastric tube projects over the GE junction and advancement by at least 10 cm is recommended to place the side port beyond the GE junction . Large hiatal hernia . Small left pleural effusion .