Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An NG tube is present , tip extending beneath diaphragm , off film . On the current film , there is again suggestion of looping of the tube in the hypopharynx . Left - sided PICC line is present , tip likely over the mid SVC . Compared with ___ and allowing for technical differences , spine doubt significant interval change . Background hyperinflation suggests bCOPD . The cardiomediastinal silhouette is prominent , similar to the prior study . Again seen are left greater right pleural effusions with underlying collapse and / or consolidation , with more extensive hazy opacity in the right mid / lower zones . There is upper zone redistribution with mild vascular plethora , but I doubt overt CHF .
    OUTPUT:
    
Overall appearance is similar compared with 1 day earlier . Apparent looping of the NG tube in the hypopharynx again noted . Clinical correlation requested .