Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Tracheostomy tube projects over the superior mediastinum . There is a left chest wall Port - A - Cath with catheter tip extending into the lower SVC region . Overlying EKG leads are present . The lungs are clear though volumes are somewhat low . No focal consolidation , large effusion or pneumothorax is seen . The cardiomediastinal silhouette is normal . Bony structures are intact . No signs of free air below the right hemidiaphragm .
    OUTPUT:
    
No evidence of pneumonia .