Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared with prior radiograph , there is no significant change in calcified pleural plaques . The lungs are well expanded and clear . There might be a small right - sided pleural effusion . There is no left - sided pleural effusion or pneumothorax . Cardiomediastinal contours are unremarkable . A Dobbhoff tube is again seen , which appears to end in the second portion of the duodenum , given its posterior course of the last portion in the lateral radiograph . A CBD stent is in place . There is no evidence of abdominal free air .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Dobbhoff tube appears to end in the second portion of the duodenum .