Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube and NG tube have been removed . A tracheostomy is now present . A right - sided PICC line tip is not well delineated , but likely lies in the region of the cavoatrial junction . No pneumothorax is detected , with note made that the medial portion both lung apices are obscured by the mask surrounding the tracheostomy tube . Cardiomediastinal silhouette is probably unchanged . Vascular plethora , bibasilar effusions with underlying bibasilar collapse and / or consolidation is again noted , overall similar prior . The presence of associated pneumonic consolidation can not be excluded . Density seen in the upper abdomen to the left of midline may represent material may relate to the patient 's splenic artery embolization .
    OUTPUT:
    
Interval placement of tracheostomy tube . Otherwise , overall appearance is similar .