Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 08 :41 is submitted .
    OUTPUT:
    
Tracheostomy tube has its tip approximately 4 .5 cm above the carina . Left subclavian PICC line has its tip in the distal SVC near the cavoatrial junction . A gastrostomy tube and IVC filter are in place . Lungs appear well inflated without evidence of focal airspace consolidation , pleural effusions or pneumothorax . No pulmonary edema . Overall cardiac and mediastinal contours are within normal limits . Bilateral nipple shadows are seen .