Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is new pneumoperitoneum since ___ , likely related to recent G - tube placement . Right PICC is unchanged in position . The ET tube has been removed and there is new tracheostomy tube terminating 4 cm above the carina . Atelectatic changes are noted at the left lung base . There is no pleural effusion . Cardiomediastinal silhouette is normal size .
    OUTPUT:
    
New tracheostomy tube terminates 4 cm above the carina . Atelectatic changes are noted in the left lung base .