Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy cannula is located within the upper trachea above the level of the clavicles . There is no pneumothorax . Interval removal of the Dobbhoff feeding tube and right internal jugular catheter is noted . There is unchanged mild pulmonary vascular congestion , though no large effusions . Cardiomediastinal and hilar contours are enlarged but appear unchanged from prior .
    OUTPUT:
    
1 . Tracheostomy cannula above the level of the clavicles within the upper trachea but rotated and potentially malpositioned . 2 . No acute cardiopulmonary process .