Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Of note , the image timestamp ___ at 18 : 20 is correct . The PACS timestamp of ___ at 13 :05 is incorrect . In comparison to the chest radiograph obtained 2 days prior , there is new right middle and lower lobe collapse with rightward shift of the mediastinum . There has also been interval placement of a tracheostomy , placement of a right - sided IJ central venous catheter which terminates the upper SVC , and removal of an enteric tube . Moderate pulmonary edema has increased in severity , more apparent in the perihilar and basal left lung . Pleural effusions small , if any . No pneumothorax . Mediastinum incompletely evaluated due to patient rotation ; attention on subsequent radiographs . The right subclavian central venous catheter is unchanged in position within the lower SVC . Incidental note is made of an azygos lobe .
    OUTPUT:
    
New right middle and lower lobe collapse . Increased , moderate pulmonary edema . Interval placement of a tracheostomy without pneumothorax or other obvious acute complications . New , right - sided IJ central venous catheter terminates the upper SVC .