Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are poorly inflated . There are no new focal opacities . Left retrocardial scarring versus atelectasis and right middle lobe scarring is unchanged . There is no pleural effusion or pneumothorax . A right - sided PICC line is unchanged in position , ending in the upper SVC versus the confluence of the brachiocephalic veins . The NG tube has been advanced in the interval and loops into the stomach with the tip likely around the pylorus . Multiple punched out lytic lesions noted in both clavicles and in the scapula are consistent with known history of multiple myeloma .
    OUTPUT:
    
NG tube terminating in the stomach . Otherwise , unchanged compared with prior exam .