Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a tracheostomy , which terminates 3 cm above the carina . There is a right PICC line , which terminates in the distal SVC . Low lung volumes with bilateral vascular crowding . There is mild elevation of the right hemidiaphragm with bibasilar atelectasis . The lungs are otherwise clear . Heart size is stable . The mediastinal and hilar contours are stable . No pleural effusion or pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Tracheostomy and right PICC line in appropriate positioning . 2 . Low lung volumes with bibasilar atelectasis .