Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy appears in standard position . There is a left - sided chest tube which abuts the mediastinum . Again noted is the feeding tube looped in the hypopharynx , yet extending down below the diaphragm with the tip out of view of the film . The right subclavian catheter ends in the low SVC . Again seen is bilateral perihilar opacification which could be secondary to atelectasis or pneumonia , unchanged compared to the prior exam . No new focal consolidations are seen . There is no pneumothorax or pleural effusions . The heart size is normal .
    OUTPUT:
    
Unchanged perihilar opacification bilaterally , likely secondary to atelectasis or pneumonia . No pneumothorax .