Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is rotated somewhat to the right . Tracheostomy tube is noted . Enteric tube is seen terminating at the GE junction , recommend advancement so that it is well within the stomach . Left - sided PICC terminates in the low SVC without evidence of pneumothorax . There are small to moderate bilateral pleural effusions . The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . Right base opacity could be due to combination of pleural effusion and atelectasis , but consolidation is not excluded in the appropriate clinical setting . There is also subtle right perihilar opacity . Cardiac and mediastinal silhouettes are unremarkable . Multiple chronic appearing left - sided rib deformities seen .
    OUTPUT:
    
Enteric tube high in position , terminates at the GE junction . Recommend advancement that is spelled limb stomach . Left - sided PICC terminates in the low SVC without evidence of pneumothorax . Bilateral pleural effusions . Right base opacity could be due to combination of pleural effusion and atelectasis , but consolidation is not excluded in the appropriate clinical setting . There is also subtle right perihilar opacity .