Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest . Right PICC is no longer seen . In addition , there has been interval placement of a tracheostomy tube . Otherwise , there has been no change . Moderate right and small left pleural effusions are seen . Dense calcific density projects over the right upper lung laterally . Cardiomediastinal silhouette is unchanged .
    OUTPUT:
    
No significant interval change . Moderate right and small left effusion . Underlying consolidation , particular at the right lung base would be difficult to exclude .