Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A nasogastric tube is in place , coursing into the distal stomach . A dual lumen tunneled dialysis catheter terminates in the right atrium , as before . A metallic vascular stent is present in the left upper arm . The in median sternotomy wires are again noted , and appear intact . The cardiac , mediastinal , and hilar contours appear stable . No pleural effusion or pneumothorax is seen . The lungs are clear .
    OUTPUT:
    
No acute cardiopulmonary process . NG tube in appropriate position . Stable position of dialysis catheter .