Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been interval placement of a tracheostomy . A left - sided internal jugular catheter is unchanged in position compared to the prior study . The nasogastric tube has been removed . No pneumothorax seen . The heart remains enlarged . There is persistent pulmonary vascular congestion , possibly slightly progressed on the left . Left lower lobe atelectasis . There is a residual airspace opacity at the right hilum with an air bronchogram . This may be due to alveolar pulmonary edema but superimposed infection can not be excluded .
    OUTPUT:
    
Interval placement of a tracheostomy tube . Otherwise unchanged appearances when compared to the prior study .