Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph ___ at 18 :36 is submitted .
    OUTPUT:
    
A tracheostomy tube is now in place and has its tip approximately 5 cm above the carina . Right mid peripheral opacity is increasing and more likely reflects loculated fluid in the fissure , although parenchymal consolidation should also be considered . Increasing bibasilar opacities may reflect atelectasis , although aspiration or pneumonia should also be considered . In addition , there is prominence of the interstitium which could reflect a component of fluid overload , although no overt pulmonary edema is seen . Right paratracheal and hilar fullness is unchanged and likely reflects lymphadenopathy as evident on chest CT dated ___ . Blunting of both costophrenic angles suggest the presence of small effusions .2