Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube has its tip approximately 2 .5 cm from the carina . Dobbhoff tube tip is in the stomach . Right internal jugular central venous catheter is in the mid SVC . PICC line is in unchanged position . Compared to the study performed earlier this morning there is worsening opacification at the lung bases which may in part be accounted for by layering pleural effusions . There is no evidence of large pneumothorax .
    OUTPUT:
    
1 . Tracheostomy tube 2 .5 cm from the carina . 2 . Worsening bibasilar opacities may in part be accounted for by layering pleural effusions .