Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior study of ___ , the endotracheal tube has been removed , and is now been replaced with a tracheostomy tube . The right - sided PICC line with does not appear to be significantly changed in position . There is opacification of the right upper lobe , which may represent fluid in the minor fissure the difficult to exclude developing consolidation in the right lobe . There is no pulmonary edema , significant pleural effusions or pneumothorax . Cardiomediastinal silhouette is difficult to evaluate due to obliquity of the patient .
    OUTPUT:
    
1 . Interval removal of the endotracheal tube , which is replaced with a tracheostomy tube . 2 . Right upper lobe opacity , which may be due to fluid in the minor fissure . Difficult to exclude developing RUL consolidation . Recommend repeating CXR with better patient positioning to further evaluate .