Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy is in place . Slight interval increase in the small left pleural effusion and stable mild right lower lobe atelectasis compared to the radiograph from ___ . No focal consolidations are identified . There is no pneumothorax . The hilar and mediastinal contours are normal . There has been a slight interval increase in the heart size compared to the prior study without evidence of pulmonary edema or vascular congestion . The right - sided PIC line terminates in the right axilla , unchanged compared to the exam dating back to ___ .
    OUTPUT:
    
No acute interval changes suggestive of pneumonia .