Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-upright view of the chest demonstrates endotracheal tube terminating 4 .6 cm above the carina . NG tube tip projects over hypopharynx . Low lung volumes accentuate bronchovascular markings . There is no pleural effusion , focal consolidation or pneumothorax . Perihilar vascular congestion is noted . Hilar and mediastinal silhouettes are unremarkable . Heart size is normal .
    OUTPUT:
    
1 . ET tube is positioned 4 .6 cm above the carina . NG tube tip projects over hypopharynx . 2 . Low lung volumes with perihilar vascular congestion .