Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable chest radiograph ___ at 06 : 15 is submitted .
    OUTPUT:
    
The endotracheal tube has its tip 2 .7 cm above the carina . A nasogastric tube is seen coursing below the diaphragm with the tip not identified . There is a worsening bilateral airspace process but more focally in the right medial lung . Although this may reflect worsening edema , a worsening infectious process or possibly right middle lobe collapse should be considered . Clinical correlation is recommended . No large pneumothorax is appreciated , although the sensitivity to detect pneumothorax is diminished given supine technique . Overall cardiac and mediastinal contours are likely stable given differences in positioning .