Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An NG tube is present , tip overlies the expected site of the gastric fundus the tip and sideport overlie the expected site of the gastric fundus . It appears to have been retracted and repositioned slightly higher than on the prior study . No free air seen beneath the diaphragm . ET tube tip lies approximately 2 .3 cm above the carina . Right - sided pacemaker type device is similar in configuration . Equivocal tiny apical pneumothorax . The cardiomediastinal silhouette remains enlarged , though is better defined and probably slightly smaller lower prior film . There is upper zone redistribution D views vascular plethora and interstitial and vascular blurring , consistent with CHF with interstitial edema . This is similar , but probably very slightly worse compared with the prior film . There are small bilateral effusions with underlying collapse and / or consolidation . Opacities at the right base are new compared with the prior study . Opacities at at the left base are similar .
    OUTPUT:
    
NG tube tip and side - port now overlie the expected site of the gastric fundus , but slightly different in position . Persisting cardiomegaly , possibly slightly improved . CHF with interstitial edema similar , but possibly slightly worse . Increased opacity at the right lung base , with a larger right effusion and underlying collapse and / or consolidation . Persistent opacity left base , left lower lobe collapse and / or consolidation and small left effusion . Equivocal tiny left apical pneumothorax .