Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dobbhoff tube is lying more distally than the previous exam in the gastric body . The LVAD is in unchanged position . There is no sign of pulmonary edema . Right - sided PICC line ends in mid SVC . Left pleural effusion and basilar atelectasis are unchanged . There is no sign of pulmonary edema . The heart is significantly enlarged , but unchanged .
    OUTPUT:
    
Dobbhoff tube is slightly more distal than the previous exam in the body of the stomach . The remaining of the exam is unchanged .