Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single portable view of the chest and upper abdomen . Endotracheal tube is seen with tip 3 .5 cm from the carina . Nasogastric tube seen with tip in the region of the gastroesophageal junction . Right internal jugular central venous catheter seen with tip in that the RA / SVC junction . Right - sided chest tube is identified . There is no visualized pneumothorax present based on a supine film . Dense retrocardiac opacity seen potentially due to combination of effusion , atelectasis or consolidation . Cardiac silhouette is within normal limits . Linear lucency in the right hemiabdomen may outline the liver edge and is suspicious for pneumoperitoneum . There is a large distended loop of bowel which occupies the majority of the left and mid abdomen . It is uncertain whether this is gastric or colonic . Osseous structures demonstrate no acute abnormality noting midthoracic dextroscoliosis .
    OUTPUT:
    
Lines and tubes as above . Left basilar opacity possibly due to combination of effusion and atelectasis or consolidation . Linear lucency in the abdomen most suspicious for pneumoperitoneum with distended viscus in the mid to left abdomen . Patient had been taken to the operating room at time of this interpretation .