Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Postoperative appearance of the cardiomediastinal silhouette is stable . Hilar contours are normal . There is relative horizontal orientation of the tracheostomy tube which is otherwise in adequate position . Tracheal cuff appears to be inflated to a greater diameter than the trachea . A calcified nodule at the right lung base is unchanged and corresponds to granuloma on prior CT . Lungs are otherwise clear . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Adequate positioning of the tracheostomy tube but with a tracheal cuff inflated wider than the diameter of the trachea itself . This may represent overinflation of the cuff or pretracheal positioning of the cuff . Results were discussed over the telephone with Dr . ___ by ___ at 10 :44 on ___ at time of initial review .