Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tracheostomy tube is unchanged in position . Dobbhoff tube terminates within the stomach . Pacemaker leads are in the right atrium and right ventricle . Since the prior radiograph , there has been no significant change . There is no focal consolidation or pleural effusion . Hyperlucent lung apices are consistent with emphysema . Cardiomediastinal silhouettes are stable .
    OUTPUT:
    
No significant interval change since prior study .