Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-erect portable chest radiograph shows radiodense tubing from nasogastric tube with the tip and side hole both off the view of the film . This is new compared to a study from approximately 12 hours earlier . Unchanged findings include cardiomegaly and haziness over the right hemithorax , possibly indicating layering pleural effusion .
    OUTPUT:
    
Nasogastric tube tip and side hole both below left hemidiaphragm off view of film .