Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: No NG tube is seen extending through the mediastinum or extending beneath the diaphragm . There is coiled tubing over the upper mediastinum , which may reflect coiling of the NG tube in the patient 's upper esophagus and retropharynx . Background COPD , mild vascular plethora , bibasilar atelectasis , and equivocal small effusions noted . Left - sided dual - lead pacemaker noted . The uppermost chest is obscured by patient 's chin .
    OUTPUT:
    
NG tube appears to be coiled in the upper esophagus and pharynx and needs to be repositioned . At this time , there is a follow - up film from ___ at 18 :48 p .m . that shows repositioning of the orogastric tube . Please see separate report of that exam .