Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been extubated , and a tracheostomy tube has been placed . The right IJ central line and nasogastric tube remain in satisfactory position . There is no pneumothorax . The lungs remain . The heart and mediastinum are within normal limits despite the projection .
    OUTPUT:
    
Status post extubation with placement of the tracheostomy tube . Clear lungs . Lines and tubes in satisfactory position .