Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Despite hyperinflation , moderately severe left and milder right lower lobe atelectasis are chronic , accompanied by persistent small pleural effusions . Heart is top - normal size . Tubing min projecting over the right upper lobe obscures bronchiectasis , seen to better advantage on subsequent chest radiographs . New tracheostomy tube is oriented obliquely and the cuff is overinflated . It should be evaluated clinically to see if it is appropriately positioned .
    OUTPUT:
    
1 . New tracheostomy tube is oriented obliquely and the cuff is overinflated . It should be evaluated clinically to see if it is appropriately positioned . 2 . Chronic hyperinflation , bibasilar atelectasis , small effusions , and right upper lobe bronchiectasis .