Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ___ device remains installed and is notable for under - inflation of the fundic balloon . There have been no significant changes in lung volumes bilaterally , though there has been a slight increase in right lower lobe atelectasis . Cardiomediastinal silhouette is unchanged and demonstrates cardiomegaly with no evidence of pneumomediastinum or pneumopericardium . Esophageal contour is expanded secondary to inflated ___ balloon but with no evidence of perforation . ET tube is seen terminating no less than 2 cm from the carina . A right IJ catheter sheath is seen terminating within the upper right atrium . No pneumothorax is observed .
    OUTPUT:
    
No evidence of pneumopericardium or pneumomediastinum . ___ device has under - inflated fundic balloon . These findings were reported to Dr . ___ at 11 :29 a .m . via phone by ___ .