Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a tracheostomy tube . There are unusual streaky linear opacities on either side of the trachea with widening of the right paratracheal stripe . This is concerning for injury that occurred during the tracheostomy placement . This finding was immediately called to the covering clinician by Dr . ___ at the time of image interpretation at 16 : 45 . The PICC line , moderately enlarged heart , and bilateral lower lobe infiltrates / volume loss are again seen .
    OUTPUT:
    
New pneumomediastinum and widened right paratracheal stripe of concern for injury during tracheostomy .