Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: New tracheostomy tube is in the mid thoracic trachea . Right PICC line is in the mid SVC . Dual lead left chest wall pacer has leads in the right atrium and right ventricle . Atelectasis at the right base is improved . The lungs are otherwise clear . Heart size is normal . The mediastinal and hilar contours is stable . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
New tracheostomy tube in the mid thoracic trachea .