Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Upright portable AP chest radiograph demonstrates low lung volumes , with an unchanged moderate - sized left pleural effusion . A band of linear atelectasis is unchanged within the left lower lung . The cardiac silhouette remains prominent , exaggerated by portable technique . The mediastinal contours are normal . Multiple comminuted displaced contiguous left - sided lateral rib fractures with adjacent marked pleural thickening are unchanged . An NG tube has been placed in the interim , the tip is seen within the proximal stomach , the side hole is not well appreciated but is likely within the distal esophagus . The pulmonary vasculature is normal .
    OUTPUT:
    
1 . Interval NG tube placement , the tip of which is in the proximal stomach , this could be advanced several centimeters to ensure that the sidehole is within the stomach . 2 . Unchanged left pleural effusion and left pleural thickening with adjacent rib fractures and subcutaneous emphysema . There is no pneumothorax . Findings were discussed with ICU nurse ___ at 2 pm .