Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A left chest wall port is again noted , and a tracheostomy is in stable position . Heart size is at the upper limits of normal . The mediastinal contours are otherwise within normal limits . No CHF , focal consolidation , pleural effusion or pneumothorax . Top - normal gas - filled colonic loops in the upper abdomen are again noted .
    OUTPUT:
    
No acute pulmonary process identified .