Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP upright chest radiograph provided . Endotracheal tube is seen with its tip located 2 .8 cm above the carina . The orogastric tube descends into the mid gastric body . Single lead pacer extends into the right heart . The patient is rotated to the right . Airspace consolidation is seen within the right lung , likely lower lobe , with associated right pleural effusion . The left lung is clear . Heart size can not be assessed . Mediastinal contour appears grossly unremarkable . The bony structures appear intact .
    OUTPUT:
    
Appropriate positioning of endotracheal and orogastric tubes . Airspace consolidation within the right lower lobe concerning for pneumonia with associated right pleural effusion .