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 in the proximal duodenum . There are no gross pulmonary changes since previous imaging . Enlarged 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 tip in the proximal duodenum . Consider advancing tube slightly further to ensure tube remains post-pyloric .