Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates 4 .5 cm above the carina . Nasogastric tube courses beyond the diaphragm and out of view . Numerous displaced right - sided rib fractures appear unchanged . The mediastinum appears slightly wider than on previous same - day examination which may be due to the image being obtained on expiration . Heart size is normal . No significant pleural effusion .
    OUTPUT:
    
1 . Endotracheal tube terminates in appropriate position . 2 . Mediastinum appears slightly wider possibly due to the image being obtained on expiration . Repeat portable chest radiograph this afternoon at inspiration is recommended .