Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest radiograph ___ at 3 : 12 is submitted .
    OUTPUT:
    
The endotracheal tube has it s tip 5 .5 - 6 cm above the carina . The right internal jugular central line has its tip in the distal SVC . A feeding tube is seen coursing below the diaphragm with the tip projecting over the expected location of the stomach . Once again , the left lower lobe has collapsed and there is hyperexpansion of the right lung . There may be a small layering left effusion . No pulmonary edema or pneumothorax . Residual oral contrast is again seen within the splenic flexure .