Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Considering a different position of the patient , bilateral severe pleural effusions with bibasilar atelectasis is unchanged . Cephalization of pulmonary vessels is seen without significant pulmonary edema . Tracheostomy is in adequate position . Dobbhoff tube has been re-positioned and now in adequate position . There is also an NG tube in the stomach . There is no pneumothorax . Mediastinal and cardiac contours are stable .
    OUTPUT:
    
1 . Dobbhoff tube has been re-positioned and is now in adequate position . 2 . The rest of the exam is unchanged considering the different position of the patient . Bilateral pleural effusions remain severe .