Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Interval placement of nasogastric tube , terminating within the distal stomach , with associated decrease in gastric distention . Cardiomediastinal contours are stable in appearance . Small right apical pneumothorax is present , and has apparently increased in size since the previous radiograph , but may have been less visible on that study due to supine positioning . Multifocal areas of patchy and linear atelectasis in the mid and lower lungs have slightly improved . More confluent opacity is present in the right lower lobe posteriorly , partially obscuring the right hemidiaphragm . Multiple rib fractures are again demonstrated on the right as well as subcutaneous emphysema in the chest wall and supraclavicular regions , slightly improved .
    OUTPUT:
    
1 . Nasogastric tube terminates in the stomach ; decreased gastric distention following placement . 2 . Small right apical pneumothorax and multiple contiguous right - sided rib fractures . 3 . Multifocal atelectasis and small pleural effusions . More confluent opacity in right lung base posteriorly could reflect atelectasis , aspiration or infection .