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 <num> 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 <num> cm. exact measurements are difficult to provide given prominent kyphotic angulation.