Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: NG tube is seen with tip projecting off the inferior field of view , side port is not clearly delineated but is certainly beyond the GE junction . Large amount of gas - filled bowel is seen in the upper abdomen . There is lucency below the right and left hemidiaphragm , potentially within a gas - filled stomach on the left and potentially loops of colon on the right , however , the configuration is slightly different when compared to CT scan and repeat exam is recommended to exclude possibility of free intraperitoneal air given change in appearance . Appearance of the lungs is unchanged and limited due to the severe scoliosis . No large confluent consolidation is identified . Cardiomediastinal silhouette is stable as are the osseous and soft tissue structures notable for probable proximal left humeral fracture which appears old .
    OUTPUT:
    
Lucency below the hemidiaphragms , potentially due to dilated air-filled stomach and bowel ; however , given differences in configuration compared to CT scan from earlier the same date , two - view chest x-ray / abdominal films is suggested for further evaluation given possibility of free intraperitoneal air . Findings were discussed with ___ at 7 : 20 on ___ on the phone at time of discovery .