Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasogastric tube courses into the very proximal stomach with tip just beyond the GE junction can be advanced 7 - 10 cm for optimal positioning . Stomach demonstrates marked gaseous distention . Ventriculoperitoneal shunt is seen to course to the left hemithorax and into the upper abdomen . Right PICC line terminates in the lower SVC . The heart is top normal in size . Normal cardiomediastinal silhouette . The lungs are clear with minimal bibasilar atelectasis . There is no effusion or pneumothorax .
    OUTPUT:
    
Gaseous distention of the stomach with a nasogastric tube just beyond the GE junction and can be advanced 7 - 10 cm for optimal positioning . Findings were discussed with ___ by Dr . ___ at ___ on ___ by phone .