Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube is in standard position . A new left internal jugular trauma line projects with the tip over the left brachiocephalic junction . Cardiomegaly is stable from prior study . Moderate to large right pleural effusion with adjacent atelectasis and left lower lobe atelectasis are unchanged . No pneumothorax is present . The stomach remains very distended .
    OUTPUT:
    
1 . Left internal jugular trauma line with tip projecting over the left brachiocephalic junction with no evidence of complications in particular no pneumothorax . 2 . Stomach continues to be overinflated and patient may benefit from nasogastric tube depending on the clinical context .