Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral chest radiographs again demonstrate a tracheostomy in place , unchanged and in appropriate position . A left chest wall port catheter terminating in the upper right atrium . There is a normal cardiomediastinal silhouette and well - aerated lungs without focal consolidation , pleural effusion , or pneumothorax . The visualized upper abdomen again demonstrates air distended loops of bowel , similar in appearance to multiple prior exams dating back to ___ .
    OUTPUT:
    
No acute cardiopulmonary process .