Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Orogastric tube courses below the diaphragm into the stomach with its tip ending in the distal end of the stomach . Right - sided PICC line ends 6 .3 cm below the carina , probably in the upper right atrium . Consider retracting the PICC by 4 .3 cm for appropriate positioning . Moderate right pleural effusion associated with right lung atelectasis is unchanged . Left lung is clear . Cardiomediastinal silhouette is normal .
    OUTPUT:
    
1 . Orogastric tube tip lies in the distal stomach and is appropriately positioned . 2 . The tip of the right - sided PICC line is low lying , probably in the right upper atrium . Consider retracting the PICC by 4 .3 cm for better seating . 3 . Moderate right pleural effusion associated with lung atelectasis is unchanged .