Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the earlier same - day chest radiograph , the NG tube is seen the distal esophagus and should be advanced further . Otherwise , no interval change in known fibrotic pulmonary disease . All other monitoring and support devices are in unchanged position . Continued enlargement of cardiac silhouette . No pneumothorax .
    OUTPUT:
    
NG tube is seen in the distal esophagus and should be advanced further . Otherwise , no interval change since earlier same day radiograph .