Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right internal jugular central venous catheter tip projects over the distal SVC . The tip of the endotracheal tube projects over the mid thoracic trachea , 4 .3 cm from the carina . Interval placement of a gastric tube , the tip extends below the level the diaphragms but beyond the field of view of this radiograph . No focal consolidation , pleural effusion or pneumothorax identified . The size of the cardiomediastinal silhouette is within normal limits .
    OUTPUT:
    
Interval placement of a gastric tube which courses below the level of the diaphragms but beyond the field of view of this radiograph . No other significant interval change .