Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Radiopaque tip compatible with a Dobbhoff tube is present on all three views , similar in appearance on all three views . The tube courses across the lower portion of the right lung toward the mid right lung base and overlies the right mainstem bronchus . This appearance is highly suggestive of a tube extending through the trachea into the lower right sided airway . Again seen is a separate , second , orogastric type tube with radiopaque tip , that is unchanged compared with the film obtained on ___ . The radiopaque tip of this second , pre-existing orogastric tube overlies expected position of the distal stomach , unchanged compared with ___ and ___ . Right subclavian PICC line tip overlies the lower right atrium , new similar to a film obtained approximately ___ min earlier the same day and should be retracted . Given what appears to be quite kyphotic positioning , attempt to retract the PICC line by 2 .5 cm could represent a conservative starting point . Left IJ central line tip also overlies the lower right atrium . The patient is status post sternotomy . The cardiomediastinal silhouette is prominent , , but unchanged compared with earlier the same day . Prosthetic valve again noted . There is diffuse vascular plethora compatible with CHF , more pronounced than earlier the same day . There is increased retrocardiac density and a small to moderate left effusion with underlying collapse and / or consolidation . This has progressed considerably compared with earlier the same day . There is ill - definition of right hemidiaphragm , also new compared with the prior study which may represent a combination of a small amount of atelectasis and pleural fluid . Note is made of a curvilinear tubular density measuring approximately 18 mm overlying the mid abdomen this
    OUTPUT:
    
One Dobbhoff tube tip overlies the overlies the right lateral lower lung and likely courses through the trachea and right mainstem bronchus . This should be addressed as soon as possible . Low inspiratory volumes . Enlarged and ill - defined cardiomediastinal silhouette is grossly unchanged . Small to moderate left effusion with underlying collapse and / or consolidation in the left lower lobe , is markedly progressed compared with earlier the same day . Hazy increased opacity at the right lung base is new compared with earlier the same day , question small effusion and underlying atelectasis . Taken together , compared with less than 1 hr earlier , the findings are suggestive of worsening of CHF , with new or significantly increased left greater right pleural effusions and underlying bibasilar collapse and / or consolidation , particularly on the left . Right subclavian PICC line and left IJ central line both overlie the lower right atrium . Consider retraction by approximately 2 .5 cm . Exact measurements are difficult to provide given prominent kyphotic angulation .