Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ETT tip projects approximately 4 cm from the carina . The patient has is neck turned to the right . Lungs are clear . No focal consolidation , effusion , or pneumothorax . The heart is normal in size . The mediastinum is not widened . No acute osseous abnormality .
    OUTPUT:
    
ETT tip approximately 4 cm from the carina . Could be advanced 2 cm to ensure in standard position since the mandible is flexed .