Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to the prior study , the orientation of the tracheostomy tube is unchanged . There is more volume loss in the right upper lobe with superior displacement of the minor fissure . Atelectasis at the left base is essentially unchanged and retrocardiac opacities are still present , which may represent aspiration or atelectasis . No pneumothorax or large pleural effusions are seen . Right PICC line is stable .
    OUTPUT:
    
Increased volume loss in the right upper lobe with otherwise minimal change .