Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right - sided internal jugular vein catheter is at the cavoatrial junction . The nasogastric tube needs to be advanced , with the first side port at the GE junction . The lungs are unchanged in appearance with multiple pulmonary nodules again demonstrated . The Left retrocardiac opacity and likely small left pleural effusion are also stable . The patchy right basilar opacities are also stable . No pneumothorax . The cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
The nasogastric tube needs to be advanced approximately 4 cm . Stable appearance of the lungs , with multiple pulmonary nodules , left retrocardiac opacity and small left pleural effusion .