Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The tip of the endotracheal tube projects over the mid thoracic trachea , approximately 5 .8 cm from the carina . The gastric tube extends into the stomach . Unchanged S shaped scoliosis of the thoracolumbar spine with a spinal rod present . There is no focal consolidation , pleural effusion or pneumothorax identified . Large right apical bulla are again noted . The size of the cardiac silhouette is within normal limits .
    OUTPUT:
    
Endotracheal and gastric tubes as described above . No radiographic evidence of acute cardiopulmonary disease .