Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable upright view of the chest . Endotracheal tube is in place with its tip residing 4 .1 cm above the carina . The NG tube courses into the left upper quadrant . There is a left IJ central venous catheter with its tip terminating in the distal left brachiocephalic vein . Bilateral airspace opacities most confluent in the left lower lobe is concerning for pneumonia . Left pleural effusion is noted , small in size . Cardiomediastinal silhouette is grossly unremarkable . No acute bony abnormalities . A chronic left clavicle deformity is present .
    OUTPUT:
    
Multifocal lung opacities most confluent in the left lower lobe concerning for multifocal pneumonia with small left effusion . ETT , NG and left IJ central venous catheters positioned appropriately .