Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: NG tube tip terminates at the gastric cardia with sidehole at or above the level of the gastroesophageal junction and needs advancement to at least 5 cm . Bilateral moderate - sized pleural effusions with compressive bibasal atelectasis , and moderate cardiomegaly are unchanged . Pulmonary edema has improved . Right upper extremity PICC terminates in the mid SVC .
    OUTPUT:
    
NG tube needs to be advanced at least 5 cm for optimal positioning .