Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with the prior study , a Dobbhoff feeding tube has been placed . The tip extends beneath the diaphragm and most proximal portion of the radiopaque tip appears to overlie the proximal stomach . The distal most edge of the tube lies beyond the inferior edge of these films . Again seen is a left subclavian PICC line with tip over distal SVC . Inspiratory volumes are slightly low . There is upper zone redistribution hand diffuse vascular blurring . There is a small left effusion with underlying collapse and / or consolidation . Some patchy opacity is also seen in the right cardiophrenic region and a focal ill - defined opacitiy is seen in the right mid zone laterally . The cardiomediastinal silhouette is grossly unchanged .
    OUTPUT:
    
1 . Interval placement of a Dobbhoff feeding tube with the tip projecting over the left upper quadrant , beyond the edge of this film . 2 . New left effusion with underlying collapse and / or consolidation . Vascular plethora and areas of more confluent opacity in the right cardiophrenic and right mid zone regions , which are new or more pronounced compared with ___ . The differential diagnosis includes developing CHF , areas of aspiration , or possible early pneumonic infiltrates .