Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Dobbhoff tube tip is in the gastro esophageal junction with the tip extending into the proximal stomach . This should be advanced . Unchanged PICC position and right upper lobe dense irregular opacity . Small right pleural effusion is difficult to appreciate on the frontal view only . Otherwise no significant change from the prior exam . Results were discussed with Dr . ___ at 520 PM on ___ via telephone by Dr . ___ at the time the findings were discovered .
    OUTPUT:
    
The Dobbhoff tube tip is in the gastro esophageal junction with the tip extending into the proximal stomach . This should be advanced .