Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy is in good position . There is a right IJ , which terminates in the mid SVC . There are 2 chest tubes on the right which appear unchanged in orientation in comparison to the prior radiograph . The patient has had prior gastric pull - through with retained contrast in the thoracic stomach . There is confluent opacification at the left base which is stable fluid along the major fissure . The bilateral pleural effusions with loculations appear unchanged . There are diffuse linear opacities , most notable in the right upper lung , which represents scarring . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen .
    OUTPUT:
    
No unfavorable change .