Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is in appropriate position . Since prior radiograph , feeding tube has been removed . There has otherwise been no significant change . Again seen are low lung volumes . There is no focal consolidation , pleural effusion or pneumothorax . Cardiomediastinal silhouette is stable . There is hardware in the right humeral head .
    OUTPUT:
    
No significant interval change and no pneumonia .