Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , similar when compared to the prior study . An endotracheal tube is in - situ , the tip terminates 6 .5 cm above the level the carina , the nasogastric tube terminates in the stomach , a side hole is at the level the gastroesophageal junction , this is withdrawn slightly when compared to the prior study . No consolidation , pneumothorax or pleural effusion seen . A atelectasis at the left lung base .
    OUTPUT:
    
Hyperinflation consistent with the patient 's known emphysema . The nasogastric tube has withdrawn slightly , the tip distal stomach however a side hole is now positioned at the level the gastroesophageal junction .