Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 6 .8 cm from the carina . An enteric tube tip is within the stomach , however the side port lies proximal to the gastroesophageal junction and should be advanced by least 10 cm for optimal positioning . Cardiac silhouette size is normal . Mediastinal and hilar contours are unremarkable . The pulmonary vasculature is normal . Hyperinflation of the lungs with emphysematous changes in the upper lobes are again noted . Lungs are clear however the extreme right lung apex is excluded from the field of view . No pleural effusion or pneumothorax is detected . There are no acute osseous abnormalities . Patient is status post gastric banding which has a somewhat different configuration compared to the prior chest radiograph , appearing circular , likely due to differences in patient positioning .
    OUTPUT:
    
1 . No acute cardiopulmonary abnormality . Emphysema . 2 . Standard positioning of the endotracheal tube . 3 . Sub optimal positioning of the enteric tube with side - port proximal to the gastroesophageal junction and should be advanced by at least 10 cm . 4 . Gastric lap band has a different configuration compared to the previous radiograph which may be due to differences in patient positioning and exam technique . Correlate clinically and consider upright view of the abdomen to confirm appropriate positioning of the lap band if needed .