Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: NG tube tip is at the gastroesophageal junction . This needs to be advanced . The ET tube and right - sided PICC line are unchanged . There is pulmonary vascular redistribution and ill definition of the vasculature with moderate pleural effusions left greater than right and dense retrocardiac opacity .
    OUTPUT:
    
1 . NG tube too high . 2 . Worsened fluid status .