Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are fully expanded and clear . Heart size top normal . No pleural abnormality . Tracheostomy tube is midline . As reported on ___ for the tracheostomy cuff distends the trachea , and warrants clinical evaluation .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Tracheostomy cuff needs clinical inspection to see if it is appropriately inflated .