Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The nasogastric tube likely enters the left lower lobe bronchus . A left pectoral pacemaker is in place . There is no pneumothorax . Small bilateral pleural effusions with bibasilar subsegmental atelectasis are unchanged . Moderate cardiomegaly despite the projection is unchanged . Large hiatal hernia with intrathoracic stomach is re-demonstrated .
    OUTPUT:
    
New nasogastric tube with course suggestive of malpositioning within the left lower lobe bronchus . Removal or repositioning is advised . Otherwise no significant interval change .