Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multiple subsequent portable views of the chest demonstrate Dobbhoff tube placement . The final image demonstrates the Dobbhoff tube in the lower esophagus . There is blunting of the left costophrenic angle , likely representing a combination of atelectasis and pleural fluid , overall unchanged from ___ . There is a small right - sided pleural effusion . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
Dobbhoff tube tip projects over the lower esophagus . Subsequent radiographs demonstrate advancement of Dobbhoff .