Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable radiograph of the chest demonstrates interval placement of tracheostomy tube which terminates 5 cm above the level of the carina . A right PICC is also in place , terminating at the level of the cavoatrial junction . EKG leads are present as well , along with a line along the right lateral chest wall which is likely external to the patient . Bilateral alveolar opacities are increased since the prior radiograph , consistent with moderate pulmonary edema . The heart is mild to moderately enlarged , but stable since the most recent prior study . No significant pleural effusion is present . There is no pneumothorax .
    OUTPUT:
    
1 . Interval worsening of bilateral alveolar opacities , consistent with moderate pulmonary edema . 2 . Monitoring and support devices are in appropriate position .