Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tracheostomy tube appears to project over the midline trachea . Again seen is extensive subcutaneous emphysema in the pectoralis muscles and cervical regions bilaterally . Diffuse unchanged reticulonodular interstitial process with a more focal airspace confluent opacity at the right apex appears slightly improved compared to the prior exam . There is stable pneumoperitoneum . The previously noted pneumothorax is not well delineated on this exam . There are stable bilateral small pleural effusions .
    OUTPUT:
    
Tracheostomy tube appears to project over the midline trachea . The previously noted pneumothorax is not well delineated on this exam .