Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left PICC line terminates in the low SVC . Tracheostomy tube is slightly off midline . The cuff is not well evaluated but may be hyperinflated . The heart size is normal . Known right lower lobe abscesses are smaller since early ___ . Pneumonia in the left mid lung is unchanged . Again emphysema is severe . There is no large pleural effusion or pneumothorax . A right bronchial valve is noted .
    OUTPUT:
    
1 . Tracheostomy slightly off midline possibly due to rotation . The cuff is not well evaluated but may be hyperinflated . 2 . Right lower lobe abscesses are smaller since early ___ . Left mid lung pneumonia is severe and unchanged . Updated results telephoned to ___ by ___ at 8 :05 am , ___ , 20 minutes after discovery .