Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . An NG tube is present --___ tip extends beneath the diaphragm and overlies the expected site of the gastric fundus , beyond the GE junction . Cardiomediastinal silhouette is unchanged . No focal consolidation , overt CHF , or gross effusion is identified . Minimal blunting of the left costophrenic angle can not be entirely excluded . There is linear bibasilar linear atelectasis . The 2 mm nodule identified on the ___ chest CT in the right lower lobe is not definitively identified on this examination , presumably due to limitations of the modality . No free air seen beneath the diaphragms . Incidental note is made of osteopenia , scoliosis and degenerative change the thoracic and upper lumbar spine , with mild endplate scalloping of at least two mid thoracic vertebral bodies and of severe degenerative changes of the left glenohumeral joint .
    OUTPUT:
    
NG tube tip extends beneath diaphragm in overlies the expected site of the gastric fundus . Left base atelectasis . No frank consolidation , overt CHF , or gross effusion . The 2 mm nodule identified on the ___ chest CT in the right lower lobe is not definitively identified on this examination , presumably due to limitations of the modality . At the time of that exam , the following was recommended : If there are risk factors for malignancy , ___ month follow - up chest CT is recommended to evaluate for stability . In the absence of such risk factors , no further follow - up is required .