Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new orogastric tube terminates in the lower part of the venous mediastinum , probably in the distal esophagus . Otherwise , there has been no significant change .
    OUTPUT:
    
Orogastric tube terminating in the distal esophagus . If gastric placement is desired advancing the tube by about 15 cm is suggested .