Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright portable chest radiograph provided . There is a linear metallic density projecting in the right axilla , which was also seen on prior radiographs and is concerning for a retained foreign body . A tracheostomy tube is noted . Small bilateral pleural effusions are likely present . There is increased retrocardiac opacity which could reflect suboptimal penetration , though the possibility of left lower lobe consolidation is not excluded . Otherwise , the lungs appear clear . No pneumothorax is seen . Bony structures appear intact .
    OUTPUT:
    
1 . Small bilateral pleural effusions and possible left lower lobe consolidation which is somewhat difficult to assess given underpenetrated technique . Consider dedicated PA and lateral views for further assessment . 2 . Metallic linear density within the soft tissues of the right axilla appears to represent a foreign body and was seen on the prior radiograph dated ___ but not on the previous radiograph dated ___ . Please correlate for interventions in this region and associated symptoms .