Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple support devices have been removed in the interim . The Dobhoff tube tip projects chest the low the GE junction in the proximal stomach , advanced from the prior exam . There is mild elevation of the right hemidiaphragm with right lower lobe atelectasis . No focal consolidation , effusion , edema , or pneumothorax . The heart is normal in size . The mediastinum is not widened . Extensive multilevel degenerative changes with anterior osteophytes in the visualized thoracic spine are noted .
    OUTPUT:
    
1 . Dobhoff tube tip has been advanced in the interim , just past the gastroesophageal junction . Recommend further advancement by approximately 8 - 10 cm to ensure that the tip remains within the stomach lumen . 2 . Right lower lobe atelectasis .