Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Compared to prior , there is increase in small right pleural effusion . Right lower lobe atelectasis is likely unchanged . Left basal atelectasis is still present and unchanged . Chronic bronchiectasis and impaction in the right upper lobe is not well seen . No pneumothorax , pulmonary edema or focal consolidation is seen . Mild cardiomegaly is unchanged . Aortic knob calcification is unchanged . Tracheostomy tube is seen midline . Tracheostomy cuff appear over inflated .
    OUTPUT:
    
1 . Mildly increased small right pleural effusion , increased since ___ . No evidence of pulmonary edema . 2 . Over inflated tracheostomy cuff .