Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single frontal view of the chest was obtained . Endotracheal tube has been removed and a tracheostomy placed . Right atrial , right ventricular , and left ventricular pacer defibrillator leads are in stable position . Right PICC tip is not well visualized . PEG is present below the diaphragm . Consolidation at both lung bases has increased , compatible with worsening pneumonia . Indistinct appearance of the costophrenic angles is compatible with moderate bilateral pleural effusions . No pneumothorax .
    OUTPUT:
    
1 . Increased bibasilar opacities , compatible with worsening pneumonia with moderate bilateral pleural effusions . 2 . New tracheostomy tube appears in appropriate position .