Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube tip is in standard position . Cardiac silhouette size is mildly enlarged but unchanged . The mediastinal and hilar contours are similar . Pulmonary vasculature is not engorged . Lungs are clear without focal consolidation . No pleural effusion or pneumothorax is seen . Resection of the distal aspect of the left clavicle is again noted . Percutaneous gastrostomy catheter is incompletely imaged .
    OUTPUT:
    
No acute cardiopulmonary process .