Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is in appropriate position below the thoracic inlet and its tip is 4 cm above the carina . An esophageal tube is noted with the tip below the gastroesophageal junction and the sideport in the lower esophagus . The lungs are well expanded and clear . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . Bilateral degenerative changes of the shoulders are demonstrated , right worse than left . The right humeral head is flattened suggesting prior episode of osteonecrosis .
    OUTPUT:
    
No acute cardiopulmonary process . Supporting devices as described above .