Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable supine image of the epigastric region is submitted .
    OUTPUT:
    
The distal end of the nasogastric tube it is seen with the tip in the distal esophagus . The tube should be advanced at least 15cm into the stomach . The visualized lungs are clear . Scattered air seen in non distended loops of bowel . The tip of the Port - A - Cath is again seen in the distal SVC .