Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy has been placed in the upper trachea . Lung volumes are low . There is extensive retrocardiac opacity , unchanged . Airspace opacity at the right base may reflect atelectasis . The cardiac silhouette remains mildly enlarged . A right - sided internal jugular catheter ends in the upper SVC .
    OUTPUT:
    
Newly placed tracheostomy .