Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PICC is again seen terminating in the uppermost portion of the right atrium . Dobbhoff tube is seen curled within the stomach . There is a new nasogastric tube with its last side hole beyond the GE junction . Bilateral pleural effusions are again present . There is no evidence of free air . The lungs appear clear .
    OUTPUT:
    
Since the prior study , new nasogastric tube seen within the stomach .