Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left - sided pacemaker with right atrial and right ventricular leads not significantly changed in position . A right PICC ends in the mid SVC , as before . A new Dobbhoff tube ends within the uppermost portion of the stomach , although a large component of the floppy distal end of the catheter is positioned within the distal esophagus . The lungs are clear . The heart size is normal . Mediastinal contours are normal . There are no pleural effusions . No pneumothorax is seen .
    OUTPUT:
    
1 . Newly placed Dobbhoff tube ends in the uppermost portion of the stomach . Recommend advancement . 2 . No acute cardiac or pulmonary process . Findings were discussed with by Dr . ___ by Dr . ___ at 4 :08 p .m . via telephone on the day of the study .