Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An orogastric tube is present . The radiopaque tip overlies the expected location of the GE junction and perhaps also the uppermost fundus , but has not passed completely beyond the GE junction . Again seen is a left subclavian PICC line with tip over distal SVC . Also again seen is a small left effusion with underlying collapse and / or consolidation as well as vascular plethora and blurring consistent with CHF . Patchy opacity in the right cardiophrenic region is unchanged . Faint more confluent opacity in the right mid zone is new . The right costophrenic angles excluded from the film .
    OUTPUT:
    
NG tube tip overlies both the GE junction and upper fundus . Probable CHF , slightly worse . Left lower lobe collapse and / or consolidation and small left effusion similar to the prior film . The possibility of pneumonic infiltrates in this setting can not be entirely excluded .