Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A portable frontal chest radiograph is somewhat difficult to evaluate secondary to blurring of the image , presumably related to patient motion . A tracheostomy terminates in the upper thoracic trachea . The right approach PICC terminates in the mid SVC . The exam is largely unchanged , with somewhat low lung volumes exaggerating the cardiac silhouette and bibasilar atelectasis . No new focal consolidation is identified . There is no appreciable pneumothorax or pleural effusion . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
No new focal consolidation , though evaluation is difficult secondary to blurring of the image , presumably related to motion .