Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube terminates in the trachea approximately 7 cm above the carina . The tracheostomy is noted to be pointed slightly anteriorly . Right IJ central line terminates in mid SVC . Unchanged right parenchymal opacities consistent with known metastatic disease . Unchanged nodules in the left the lung . Retrocardiac atelectasis unchanged from prior exam . Bilateral pleural effusions are likely present . The cardiomediastinal silhouette is unremarkable .
    OUTPUT:
    
1 . Tracheostomy tube terminates approximately 7 cm above the carinal and is pointed slightly anteriorly . Recommend continued monitoring and repeat radiographs if clinical concern persists or increases . 2 . Otherwise stable exam from prior .