Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Two frontal images of the chest demonstrate a Dobbhoff tube with the tip located beyond the first segment of the duodenum . There are no gross pulmonary changes since previous imaging , and large prominent cardiac silhouette is again seen . Bilateral pleural effusions , left greater than right , remain unchanged . Retrocardiac opacification consistent with left lower lobe volume loss again seen .
    OUTPUT:
    
Dobbhoff tube with the tip beyond the first segment of the duodenum , in good position for use .