Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size appears more enlarged compared to previous but may be exaggerated by technique and positioning . Increased elevation of the left hemidiaphragm may be indirect evidence of left lower lobe atelectasis . Small effusions if any . Increased pulmonary vascularity bilaterally . There is no pneumothorax . Tip of Dobbhoff tube is in the stomach .
    OUTPUT:
    
Tip of Dobbhoff tube in the distal stomach . Since ___ , there has been mild increase in pulmonary vascularity bilaterally along with new elevation of the left hemidiaphragm for which left lower lobe atelectasis can not be excluded