Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable view of the chest demonstrates ET tip terminating 4 .5 cm above the carina . Low lung volumes . No pleural effusion , focal consolidation or pneumothorax . Hilar and mediastinal silhouettes are unremarkable . The heart size is normal . There is no pulmonary edema . Multiple surgical clips and TIPS shunt catheter projects over right upper abdomen .
    OUTPUT:
    
Endotracheal tube projects 4 .5 cm above the carina .