Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . Endotracheal tube is again seen with its tip residing 2 .6 cm above the carinal . Orogastric tube has been intervally advanced with its tip now well positioned in the left upper abdomen in the expected location of the stomach . Patient is somewhat rotated which limits the evaluation . There is no focal consolidation , effusion , or pneumothorax . The cardiomediastinal silhouette is normal . Imaged osseous structures are intact .
    OUTPUT:
    
No acute intrathoracic process . Endotracheal and orogastric tubes appear in appropriate position .