Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube again terminates 3 cm above the carina , and nasogastric tube courses into the stomach . There is no significant pleural effusion or pneumothorax . The lungs are overinflated , with diffuse hyperlucency . Right lower lobe collapse and effusion have resolved . There are increased bilateral lower lobe opacities . Cardiomediastinal and hilar contours are normal .
    OUTPUT:
    
1 . Resolved right lower lobe collapse and effusion . 2 . Increased lower lobe opacities , likely aspiration . 3 . COPD .