Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright radiograph of the chest demonstrates increased opacification of the right mid hemi thorax with obscuration of the right heart border consistent with obstruction of the right middle lobe . There is rightward deviation of the trachea . The left lung is clear , but appears hyperexpanded . The endotracheal tube ends 5 .6 cm from the carina , and should be advanced for more secure seating . A nasogastric tube courses into the stomach and out of the field of view . There has been interval removal of the right - sided subclavian line . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . Increased opacification of the right mid hemithorax with obscuration of the heart border , airway deviation trachea , hyperextension of the left lung consistent with obstruction and collapse of the right middle lobe . 2 . Endotracheal tube ends 5 .6 cm from the carina and should be advanced for more secure seating .