Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy is in place ending 6 .7 cm from the carina , with the balloon remaining overinflated . Left basilar chest tube is stable . Fiducial seed is seen in known right lower lung mass , and there is continued right lower lobe atelectasis . Right PICC has been removed . Moderate right pleural effusion is unchanged . Asymmetric right sided mild pulmonary edema or lymphangitic spread of tumor is re - demonstrated , unchanged . Small left pleural effusion is unchanged . No pneumothorax . IVC filter is tilted but unchanged in position . Percutaneous gastrostomy catheter is also seen in the left upper quadrant of the abdomen .
    OUTPUT:
    
Overall unchanged appearance of the chest compared to the previous exam . Similar sized moderate right and small left pleural effusions . Asymmetric right sided mild pulmonary edema or lymphangitic spread of tumor . Tracheostomy is in place , although the balloon remains overinflated . Re - demonstration of right lower lobe lung mass .