Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . The carina is not well delineated , but the tip of the ET tube probably lies approximately 2 .9 cm above the carina . An NG tube is present , tip overlying the gastric fundus . A side - port , if present is not well visualized . There are bilateral chest tubes . Note is made of acute angulation of the left chest tube similar to the prior study . No obvious pneumothorax is identified , though a small pneumothorax , particularly on the right side , would be difficult to exclude . Again seen is dense consolidation in the right upper lobe , with air bronchograms . There is also increased retrocardiac density , with air bronchograms , consistent with left lower lobe collapse and / or consolidation . Lateral to the cardiac silhouette , the left lung base is grossly clear . There is atelectasis at the right lung base , with elevated right hemidiaphragm . The remainder of left lung is grossly clear . Multiple rib fractures are present bilaterally , more completely delineated on yesterday 's chest CT scan . No gross pleural effusion is identified . Note is made of sigmoid scoliosis of the thoracolumbar spine , convex right in the midthoracic and convex left in the lumbar spine . The patient 's known midthoracic spine the fracture corresponds to poor visualization of the cortical contours of the T6 vertebral body , but is much better delineated on yesterday 's chest CT scan .
    OUTPUT:
    
Multiple lines and tubes , detailed above . Small right - sided pneumothoraces would be difficult to exclude . Dense consolidation of the right upper lobe as well as retrocardiac left lower lobe consolidation . Known T6 transsection or delineated radiographically , though the T6 vertebral body contours and pedicles are not well visualized . Known multiple bilateral rib fractures again noted .