Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New tracheostomy tube is noted . Transesophageal tube courses below the diaphragm and out of view . Bibasilar opacities are likely secondary to atelectasis and similar to prior . There is probably small to moderate left pleural effusion . Cardiac silhouette is normal size .
    OUTPUT:
    
New tracheostomy tube is noted . No other notable interval change .