Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The dobhoff tube is seen passing below the GE junction , however it should be advanced 4 - 5 cm . There is a left IJ , which terminates in the mid SVC . There is a left basilar chest tube , which appears unchanged in comparison to the prior chest radiograph . The sternotomy wires appear intact and in appropriate alignment . The bilateral pleural effusions and moderate vascular congestion is unchanged . Heart size is stable . The mediastinal and hilar contours are stable . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Dobhoff tube below GE junction , however it should be advanced 4 - 5 cm . 2 . Appropriate positioning of left IJ and left chest tube . 3 . Unchanged bilateral pleural effusions and moderate vascular congestion .