Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Dobbhoff feeding tube is in the distal esophagus at the GE junction and should be advanced . Note that the lung apices are excluded from this film . A right PICC terminates in the cavoatrial junction . There is new opacity in the right lower lobe which likely represent layering effusion . Bilateral parenchymal opacities are stable . The heart size is unchanged .
    OUTPUT:
    
1 . Dobbhoff tube is in the distal esophagus and should be advanced . 2 . Small left pleural effusion .