Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: NG tube tip is in the stomach . Left IJ line tip is in the proximal SVC . This is a rotated film which somewhat limits evaluation . There are moderate bilateral pleural effusions and volume loss in both lower lungs . Compared to the prior study the pleural effusions are larger , although some of this appearance could be due to technique
    OUTPUT:
    
NG tube and left IJ line tips appropriately placed .