Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest film ___ at 16 59 is submitted .
    OUTPUT:
    
Tracheostomy tube is unchanged in position . The bilateral diffuse parenchymal opacities with more confluent consolidation in the left upper lobe and at the right base do not appear to be significantly changed . There is some prominence of the interstitium peripherally in the right lung but this also does not appear to be changed . No large effusions and no pneumothorax . Overall cardiac and mediastinal contours are likely stable given marked patient rotation to the left .