Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Midline sternotomy wires and mediastinal clips are noted . ET tube tip resides 3 .1 cm above the carina . Endogastric tube tip extends just beyond the GE junction . Recommend advancement for more optimal positioning . Scattered opacities in the lungs most pronounced in the lower lobes are concerning for multifocal pneumonia . No large effusion or pneumothorax is seen . Cardiomediastinal silhouette appears normal .
    OUTPUT:
    
1 . Multifocal pneumonia . 2 . ET tube positioned appropriately . 3 . OG tube tip just beyond the GE junction . Recommend advancement .