Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior exam , there is no change in the extensive parenchymal abnormalities bilaterally . In addition , there remains bilateral pleural effusions . Heart size remains enlarged . A Dobbhoff tube is in place which courses to the region of the pylorus .
    OUTPUT:
    
Dobbhoff tube in place coursing to the region of the pylorus .