Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable supine frontal chest radiograph demonstrates a right PICC tip within the mid SVC , unchanged from previous examination . Tracheostomy is slightly twisted within the mid trachea . A gastrojejunostomy tube is stable in appearance within the left upper quadrant . Aspirated barium is again seen in the right lower lobe . Persistently hypoinflated lungs . Near - complete resolution of bilateral pleural effusions with persistent small layering right pleural effusion . Bibasilar atelectasis noted . Heart size , mediastinal contour , and hila are unremarkable . Limited assessment of the osseous structures are unremarkable and upper abdomen is within normal limits .
    OUTPUT:
    
1 . Decreased bilateral pleural effusions with small right layering effusion . No new pneumonia . 2 . Slightly twisted tracheostomy . Additional support lines and tubes as described above .