Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . The endotracheal tube is seen with its tip residing 4 .4 cm above the carinal . A dextroscoliosis of the T - spine is noted . The heart is prominent though this could be due to supine portable technique . Lungs are clear . No supine evidence for effusion or pneumothorax . The bony structures appear intact . Calcification projecting over the heart likely resides within the mitral annulus .
    OUTPUT:
    
As above , ET tube positioned appropriately .