Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest film ___ at 15 :06 is submitted .
    OUTPUT:
    
Lungs are hyperinflated and there is parenchymal distortion , especially at both lung apices , consistent with known underlying emphysema . No focal airspace consolidation is seen to suggest pneumonia . No pneumothorax . Right subclavian PICC line is unchanged in position . Interval placement of a nasogastric tube with the tip projecting over the stomach but the side port is near the gastroesophageal junction . Advancement by 5 - 6 cm may be prudent . Overall cardiac and mediastinal contours are stable .