Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP radiograph is obtained through the mid chest and upper abdomen . In comparison to the study of one hour prior the tip of the NG tube is minimally advanced , but still remains at the level of the diaphragm with the side hole in the lower esophagus . Surgical clips are noted in the upper abdomen . No significant changes compared to the prior study .
    OUTPUT:
    
Nasogastric tube tip is at the level of the diaphragm with the side hole clearly seen in the lower esophagus . The tube needs to be advanced further .