Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A Dobbhoff tube has been advanced , though still in relatively high position with the tip just beyond the gastroesophageal junction and could be advanced for more optimal placement . The remainder of the examination is unchanged . The lungs are grossly clear . There are no pleural effusions or pneumothorax . The cardiomediastinal and hilar contours are normal . Pulmonary vascularity is within normal limits .
    OUTPUT:
    
Dobbhoff tube is still in a relatively high position with the tip just beyond the gastroesophageal junction and could be advanced for more optimal placement .