Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube projects over the trachea at the level the first rib . The lungs are clear without pleural effusion , focal consolidation , or pneumothorax . Heart size and mediastinal contours are normal . A catheter device again projects over the upper abdomen .
    OUTPUT:
    
Tracheostomy tube projects over the trachea at the level the first rib . No focal consolidation .