Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy has been inserted into to upper airway . A left - sided PICC line remains at ] the confluence of the left brachiocephalic and SVC . The lungs are well inflated . Bibasilar atelectasis is not significantly changed . No effusion or pneumothorax is present .
    OUTPUT:
    
Tracheostomy in expected position .