Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Nasogastric tube tip and side port are within a massively distended stomach . Heart size is mildly enlarged but unchanged . Bulging of the distal mediastinal contours likely reflects the paraesophageal complex collection , as seen on the previous CT . Coronary artery stents are re- demonstrated . Atherosclerotic calcifications at the aortic knob are again noted . Pulmonary vasculature is not engorged . Patchy atelectasis is seen in the lung bases without focal consolidation . Trace left pleural effusion is unchanged . No pneumothorax . Radiopaque foci in the upper abdomen likely reflect retained barium within colonic diverticula .
    OUTPUT:
    
1 . Nasogastric tube in standard position within the stomach , however the stomach remains massively distended . 2 . Small left pleural effusion with bibasilar atelectasis . 3 . Bulging of the distal mediastinal contour compatible with apparent paraesophageal complex fluid collection , as seen on CT .