Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Midline tracheostomy tube is again seen . The tube terminates approximately 3 cm above the carina . Again seen is patient 's right lower lobe calcified mass , similar compared to prior study . The left lung is grossly clear . There has been interval removal of a left - sided PICC .
    OUTPUT:
    
No significant interval change in the appearance of the lungs with re - demonstrated right lower lobe calcified mass . No new focal consolidation to suggest pneumonia .