Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Film obtained without and penetrated technique , limiting assessment of fine detail . Lung volumes are slightly low . Allowing for this , an endotracheal tube ends the mid thoracic trachea , approximately 3 .6 cm above the carina . Enteric tube courses below the level of the diaphragm to overlie the expected site of the gastric fundus . There is no focal consolidation . Prominence of the right superior mediastinum is again seen . Equivocal faint opacity at the right lung apex , unchanged compared with the previous film . No supine film evidence pneumothorax is detected . As before , there is prominence of the paraspinal lines , most notably about the lower thoracic spine .
    OUTPUT:
    
An endotracheal tube ends the mid thoracic trachea , , approximately 3 .6 cm above the carina . NG tube extends beneath diaphragm . Mild prominence of the superior mediastinum , similar to the chest radiograph obtained earlier the same day . Equivocal faint opacity at the right lung apex , unchanged . The appearance is not typical for apical capping . Otherwise , no acute pulmonary process identified . Prominence of paraspinal lines about the lower thoracic spine . Please see torso CT obtained earlier the same day demonstrating multiple thoracic spine fractures . The fractures themselves are not well depicted radiographically .