Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine radiograph centered around the epigastric region was obtained on ___ 11 : 17 . The lung apices are not included .
    OUTPUT:
    
Interval placement of a nasogastric tube with the tip projecting over the stomach . The heart remains enlarged . Bilateral parenchymal nodular opacities are unchanged . Layering left effusion .