Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Re-identified is a left chest cardiac device with associated dual leads projecting over the right atrium and ventricle in unchanged , appropriate location . New since the prior exam is an enteric tube with distal tip projecting below the lower limit of the radiograph , however with side port seen projecting over the midline upper abdomen , difficult to definitively located however likely several cm distal to the GE junction . Clip projecting over the left hemithorax is likely extracorporeal . The cardiomediastinal silhouette is stable , consistent with moderate cardiomegaly . The hilar within normal limits . Re-identified are multifocal airspace consolidations , most conspicuously affecting the medial right upper lobe and right lung base , partially visualized . Increased hazy opacification of the left lower lung is noted , possibly technical in nature . There is likely a small left pleural effusion . Findings consistent with mild pulmonary vascular congestion are seen , incompletely evaluated on this study . No pneumothorax is identified .
    OUTPUT:
    
In comparison to earlier same - day chest x-ray , new enteric tube is identified with tip projecting below the lower limit of the radiographic and side port projecting over the upper abdomen . Allowing for changes due to patient rotation , side port and tip are likely within the gastric lumen . Given indeterminate location of the GE junction on this study , recommend advancement by 4 - 5 cm for definitive positioning within the gastric lumen . Other findings are unchanged , as above .