Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient has been extubated , and a new tracheostomy tube has in place . A left basilar pigtail catheter , Swan - Ganz catheter , nasogastric tube , right basilar chest tube , and left IJ central venous line are unchanged . Sternotomy wires are intact and aligned . Right perihilar calcified lymph nodes are unchanged . There is no pneumothorax . Bilateral airspace opacities are most likely due to asymmetric pulmonary edema . A moderate right pleural effusion is unchanged .
    OUTPUT:
    
Extubated with a new tracheostomy tube . Otherwise , no significant interval change in moderate pulmonary edema and moderate right pleural effusion .