Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are clear . Again the Dobbhoff tube tip is at the distal esophagus , possibly a little higher than on the prior film . The patient is status post median sternotomy . No pleural effusion or pneumothorax is identified .
    OUTPUT:
    
Dobbhoff tube in the distal esophagus . These findings were communicated with ___ by ___ at 3 :30 p .m . immediately upon discovery the findings .