Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: In comparison to the prior chest radiograph performed earlier on the same date , the patient has been extubated and a tracheostomy tube is now visualized . The right PICC line and left pectoral pacer are unchanged in position . There are bibasilar opacities , which are more apparent than the prior study but likely represent change in appearance of layering pleural effusions with current supine positioning . There is no pulmonary edema or pneumothorax . Cardiomediastinal silhouette is within normal limits . A PEG tube is also visualized .
    OUTPUT:
    
1 . Interval placement of a tracheostomy and PEG tube . 2 . Apparent bibasilar opacities likely represent change in appearance of layering effusions with supine positioning .