Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable chest radiograph demonstrates interval placement of a new nasogastric tube . Although it is difficult to definitively determine tip of the nasogastric tube , the tube appears to have gone into the stomach and turned back around itself with tip likely in the mid esophagus . Otherwise , unchanged exam with stable cardiomediastinal borders . Minimal bibasilar atelectasis . Possible trace bilateral pleural effusions , unchanged compared to prior .
    OUTPUT:
    
Nasogastric tube has passed below the diaphragm , hit stomach wall and returned back up the esophagus . Recommend withdrawal of approximately 17 cm or consider repositioning under fluoroscopic guidance . Otherwise , unchanged exam .