Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube has been removed and a tracheostomy tube has been placed in the upper airway . The tip of a nasogastric tube extends inferiorly out of the field of view . The lungs are clear . No focal consolidation , effusion , or pneumothorax is present . The cardiac and mediastinal contours are unremarkable . No large effusion or pneumothorax is present .
    OUTPUT:
    
Status post endotracheal tube removal and tracheostomy tube placement . No acute cardiopulmonary process .