Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine AP view of the chest provided . There is an endotracheal tube in place with its tip residing approximately 5 .3 cm above the carina . The NG tube is seen at the midline with its tip above the level of the diaphragm . AICD device is unchanged . Opacities in the bilateral lower lungs are again noted with an effusion on the right . Pleural calcification is noted . Bony structures appear grossly intact .
    OUTPUT:
    
ET tube positioned appropriately . NG tube tip above the diaphragm , for which advancement is advised . Lower lung consolidations with right pleural effusion noted .