Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Dobbhoff courses in the midline leading to at least the distal stomach ; however , the tip including the weighted distal end is excluded . Otherwise , there is no significant change compared to earlier exam from 8 hours prior , with persistent widespread opacity involving most of the left lung and the right lower lung and bilateral pleural effusions . There is no pneumothorax . A right dual - lumen catheter is unchanged .
    OUTPUT:
    
Dobbhoff to at least the distal stomach but the distal weighted end is excluded on images .