Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube has been placed . A right - sided PICC line terminates in the low SVC . A feeding tube terminates in the stomach . Moderate layering pleural effusions with bibasilar atelectasis are unchanged . A right pigtail catheter is again noted . The cardiomediastinal silhouette is stable . Mild vascular congestion is also unchanged . No pneumothorax .
    OUTPUT:
    
Status post tracheostomy tube placement with no other significant interval change .