FINDINGS:
In this patient with a large hiatal hernia, the NG tube is seen
 coiled in the left upper abdomen though its tip extends superiorly into the
 intrathoracic portion of the stomach.  Basilar atelectasis and tiny effusions
 are better assessed on outside hospital CT from earlier today.  The upper
 lungs remain well aerated.  Heart size cannot be assessed.  Bony structures
 are intact with degenerative changes at the right AC joint.  Free air below
 the right hemidiaphragm is seen.

IMPRESSION:
NG tube coiled within the stomach with its tip in the
 intrathoracic portion of the stomach.