Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post median sternotomy and CABG , with sternotomy wires that appear intact and appropriately aligned . There is an NG tube that is malpositioned with the tip in the midesophagus . The lungs appear hyperinflated . There is mild vascular congestion bilaterally . Moderate enlargement of the cardiac silhouette . The mediastinal and hilar contours are normal . Bilateral pleural effusions , right worse than left . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . NG tube malpositioned with tip in the mid esophagus . 2 . Mild vascular congestion and bilateral pleural effusions consistent with CHF .