Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasogastric tube tip projects over the medial aspect of the right hemidiaphragm and appears to terminate within a large hiatal hernia which is distended with air and fluid . The cardiac silhouette size is moderately enlarged . The aortic knob is calcified . Bibasilar ill - defined opacities may reflect aspiration or atelectasis . Small right pleural effusion appears to be present . There is no pneumothorax or pulmonary vascular congestion . Electronic device is seen projecting over the left perihilar region . Cervical spinal fusion hardware is incompletely assessed .
    OUTPUT:
    
Nasogastric tube tip appears to terminate within a large hiatal hernia , which is distended with air and fluid . Bibasilar airspace opacities could reflect aspiration or atelectasis . Small right pleural effusion .