Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compatible with COPD . Compatible with COPD . The cardiomediastinal silhouette is unremarkable . Subdiaphragmatic air on the right is likely intraluminal , within loops of colon . No pleural effusion , pneumothorax , or focal consolidation concerning for pneumonia is identified .
    OUTPUT:
    
Tracheostomy in place , as described above . Findings compatible with COPD .