Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 18 13 is submitted .
    OUTPUT:
    
Interval removal of one of the right - sided chest tubes and the right internal jugular central line . Tracheostomy tube , right basilar chest tube and right subclavian PICC line are unchanged in position . Overall cardiac and mediastinal contours are stable . The overall appearance of the lungs is unchanged with stable areas of parenchymal distortion and scarring in the right mid to lower lung and patchy opacity at the left base . High in density material once again seen in the known gastric pull - through . No pneumothorax .