Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . There is intubation with the endotracheal tube tip residing approximately 6 .5 cm above the carina . The orogastric tube extends into the upper abdomen though the tip is not within the imaged field . A single surgical clip resides in the left upper quadrant . The lungs appear clear . Calcified mediastinal lymph nodes are noted which likely reflect chronic granulomatous disease . No large effusion or pneumothorax . Bony structures appear grossly intact .
    OUTPUT:
    
ET tube with tip 6 .5 cm above the carina . Advancement by 2 cm may result in more optimal positioning . OG tube positioned appropriately .