Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable chest radiograph was obtained . Moderate bilateral pleural effusions have progressed since ___ . The patient has been extubated . The tip of a nasogastric tube terminates in the distal esophagus and must be advanced approximately 15 cm to ensure that the side hole is in the stomach . The tip of a right - sided PICC line is at the cavoatrial junction . Moderate cardiomegaly and aortic calcifications are unchanged . There are extensive surgical clips along the left chest wall . A VP shunt courses along the right chest .
    OUTPUT:
    
1 . NG tube tip in the distal esophagus . The NG tube must be advanced to ensure that the tip and side hole are in the stomach . 2 . Interval increase in size of moderate bilateral pleural effusions . Findings were discussed with Dr . ___ ___ phone at 15 :00 on ___ .