Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to chest radiograph from 1 day prior , widening of the upper mediastinal contours and cardiac silhouette may be related to portable technique and a combination of pulmonary vascular congestion . Right - sided internal jugular catheter terminates in the mid SVC . First side port of the nasogastric tube is at the gastroesophageal junction and needs to be advanced . Endotracheal tube is 6 cm from the carina . No pneumothorax or pleural effusion .
    OUTPUT:
    
Mild pulmonary vascular congestion . Nasogastrictube needs to be advanced at least 5 cm .