Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The Dobbhoff has been pulled back slightly , and the tip now resides in the gastric antrum . The cardiomediastinal and hilar contours are stable . Again seen is a small right pleural effusion , not increased compared to prior study . There is no pneumothorax or left pleural effusion . Increased density in the left upper lung is concerning for aspiration or pneumonia .
    OUTPUT:
    
1 . Dobbhoff with tip in the gastric antrum . Positioning the patient right side down may facilitate spontaneous movement of the Dobhoff into the duodenum . 2 . New left upper lobe aspiration or pneumonia . 3 . Stable small right pleural effusion .