Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph , there has been interval placement of an NG tube , which terminates in the stomach . Endotracheal tube terminates 4 .7 cm above the carina . The left pectoral pacemaker is unchanged in position , with leads terminating in the right atrium and right ventricle . One of the median sternotomy wires adjacent to the left sixth rib is broken , which was present since at least ___ . Lung volumes are low . There is bibasilar atelectasis , worse on the left . Of note , a portion of the left inferolateral hemithorax is not captured on this study , but there is likely a pleural effusion on the left . No pneumothorax . Mild to moderate cardiomegaly is stable in appearance . Atherosclerotic calcifications are noted in the aortic arch .
    OUTPUT:
    
1 . NGT terminates in the stomach . 2 . Right greater than left bibasilar atelectasis , with likely a small to moderate left pleural effusion . 3 . An old fractured median sternotomy wire is noted .