Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable upright chest radiograph shows the endotracheal tube tip 4 cm above the carina but with the edge abutting the left lateral wall of the mid trachea . Nasogastric tube tip and side hole both below the left hemidiaphragm off the view of the film . The studies taken in relative degree of expiration but no focal lung consolidation is seen and no pneumothorax or pleural fluid hemothorax is evident .
    OUTPUT:
    
No acute intrathoracic process . Note distal left edge of the endotracheal tube abutting left tracheal wall