Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy is in adequate position at 4 .5 cm off the carina . The two chest tubes and the right jugular vein are in unchanged position . There is no visible pneumothorax . Deterioration of the bibasilar opacities since the previous exam : there is certainly some atelectasis with possibly pleural effusions . There is bilateral subcutaneous air .
    OUTPUT:
    
1 . The tubes and tracheostomy are in adequate position . 2 . Worsening of the bibasilar opacities .