Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to immediate prior exam , there has been little interval change except for interval placement of a Dobbhoff tube with the majority of the tube is coiled within the cervical esophagus and the tip terminating just proximal to the GE junction . There is otherwise stable positioning of a right internal jugular Swan - Ganz catheter . Positioning of endotracheal tube is difficult to ascertain with multiple loops of coiling of the Dobbhoff tube within the cervical esophagus . There is otherwise unchanged cardiomediastinal silhouette , bilateral layering pleural effusions and moderate pulmonary edema .
    OUTPUT:
    
Coiling of Dobbhoff tube within the cervical esophagus with tip just proximal to the GE junction . Otherwise , no significant interval change . Results were discussed over the telephone with Dr . ___ by Dr . ___ at 11 :36 a .m . on ___ at time of initial review .