Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple images were obtained . The initial radiograph demonstrates the newly placed Dobbhoff tube entering into this right mainstem bronchus and into the right lower lung parenchyma . This was subsequently removed , and an NG tube was placed . Subsequent images demonstrate the newly placed NG tube traversing the diaphragm with its tip ending in the expected location of the stomach in the left upper quadrant , although it is unclear if the position of the side port is past the GE junction . No pneumoperitoneum or pneumothorax . From the most recently obtained repeat films , a new small - to - moderate left pleural effusion with adjacent atelectasis has developed since ___ . Otherwise , no significant change since ___ . Stable bilateral small lung volumes . Mild pulmonary vascular congestion . Stable moderate cardiomegaly . Increased retrocardiac opacity with air bronchograms and partial obscuration of the lateral aspect of the descending aorta , suggestive of atelectasis although a developing pneumonia can not be excluded . The dual - lead cardiac pacemaker device appears unchanged in position , with one tip in the right atrium and the other in the right ventricle . Stable significant bilateral degenerative changes in the glenohumeral joints .
    OUTPUT:
    
1 . NGT traverses the diaphragm and ends in the stomach , although the side port is likely above the GE junction . Recommend advancing the NG tube several centimeters to ensure that the side port is past the GE junction . 2 . Small - to - moderate left pleural effusion , new since ___ . 3 . No pneumothorax .