Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A semi-upright frontal view of the chest was obtained portably . The endotracheal tube ends 6 .6 cm above the carina . The nasogastric tube ends at the gastroesophageal junction with the side port in the distal esophagus and could be advanced . There is no focal consolidation , pleural effusion or pneumothorax . Pulmonary vasculature is slightly indistinct suggesting increased pulmonary vascular congestion without overt pulmonary edema . Heart size is top normal . The aorta is tortuous . A left chest wall pacemaker leads project over the expected locations in the right atrium and right ventricle .
    OUTPUT:
    
Endotracheal tube ends in 6 .6 cm above the carina . Nasogastric tube ends at the gastroesophageal junction and could be advanced for better placement .