Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube has been removed and a tracheostomy has been placed terminating 4 cm above the carina . The Dobbhoff tube has been removed and a percutaneous gastrostomy has been placed . Cardiomegaly , median sternotomy wires , mediastinal clips and left subclavian catheter are stable . No new effusion , consolidation , or pneumothorax is present .
    OUTPUT:
    
Status post tracheostomy tube placement .