Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior radiograph performed earlier this morning , the patient has been extubated and a new tracheostomy tube has been placed . The enteric tube has been removed . Right - sided PICC line is unchanged in location and terminates at the cavoatrial junction . There are no significant interval changes . There is severe alveolar pulmonary edema , unchanged in appearance since the prior study . There is no pneumothorax . Cardiomediastinal silhouette remains enlarged .
    OUTPUT:
    
1 . Appropriately positioned tracheostomy tube . 2 . Unchanged appearance of severe alveolar pulmonary edema .