Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP chest radiograph . Right - sided PICC tip is in the lower SVC . Blunting of the costophrenic sulci represents a combination of scarring and pleural thickening . The lungs are mildly hyperinflated and focality of interstitial edema in the left lower lung probably reflects severe emphysema elsewhere in the lungs . The cardiomediastinal silhouette is stable . Tracheostomy cuff appears hyperinflated and distends the tracheal wall .
    OUTPUT:
    
1 . Interstitial edema in the left lower lung , but no pneumothorax or focal consolidation . 2 . Tracheostomy cuff appears hyperinflated . Findings were discussed by Dr . ___ with Dr . ___ by phone at 10 :48 a .m . on ___ .