Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A right - sided PICC is in place with tip in upper SVC in unchanged position . Visualization of the Dobbhoff tube is difficult due to limited beam penetration , however , the tube is visualized to course below the diaphragm with tip terminating in the expected location of the gastric body . Lung volumes are decreased in comparison with the previous examination with increase in bibasilar atelectasis . A small right - sided pleural effusion is unchanged . No pneumothorax . Osseous structures unchanged . Trace left pleural effusion is unchanged .
    OUTPUT:
    
1 . Dobbhoff tube has been advanced and is now located in the expected region of the gastric body . PICC in unchanged position . 2 . Stable right pleural effusion . Slight increase in bibasilar atelectasis . Trace left pleural effusion unchanged .