Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Dobbhoff tube is in the esophagus in the neck just above the level of the tracheostomy . Tracheostomy tube is in place . Left - sided PICC line tip is in the right atrium . Right - sided PICC line tip is in the SVC . There bilateral lower lobe infiltrates right greater than left and bilateral pleural effusions
    OUTPUT:
    
Dobbhoff tube high a in the esophagus . At the time of dictating this report the Dobbhoff tube had already been repositioned , however please note that on the followup film though still located in the esophagus although slightly lower , just above the GE junction