IMPRESSION:
Feeding tube with the wire stylet in place ends in the lower esophagus and
 would need to be advanced 10 cm to reposition it in the mid stomach.
 No pneumothorax or pleural effusion.  Right PIC line ends in the low SVC. 
 Patient has had median sternotomy and aortic and mitral valve replacements.
 Severe cardiomegaly is chronic, mild interstitial edema is probably present. 
 Right lower lobe consolidation which developed sometime after , is
 concerning for pneumonia.  No pneumothorax.  Right PIC line ends in the mid
 SVC.