Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is present projecting over the thoracic inlet . The tip of a right central venous catheter projects over the cavoatrial junction . No focal consolidation or pneumothorax identified . A trace right pleural effusion is suspected . The size of the cardiac silhouette is enlarged but unchanged .
    OUTPUT:
    
Interval exchange of the tracheostomy tube . No pneumothorax identified . Suspected trace right pleural effusion .