Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post tracheostomy , which appears unchanged in comparison to the prior radiograph . There is a right IJ , which terminates in the mid SVC . There are 2 chest tubes on the right which appear unchanged in orientation in comparison to the prior radiograph . The patient is status post gastric pull - through with retained contrast in the thoracic stomach . There is confluent opacification at the left base which appears to have increased in comparison to the prior radiograph . The bilateral pleural effusions with loculations appear unchanged . There are diffuse linear opacities , most notable in the right upper lung , which represents scarring . Heart size is stable . The mediastinal and hilar contours are stable . The pulmonary vasculature is normal . No pneumothorax is seen . There are no acute osseous abnormalities .
    OUTPUT:
    
1 . Appropriate position of tracheostomy , right IJ , and chest tubes . 2 . Confluent opacification of the left lung base , which is concerning for pneumonia . 3 . Unchanged bilateral loculated pleural effusions .