Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable supine AP view of the chest provided . The endotracheal tube is seen with its tip residing approximately 4 .3 cm above the carina . The NG tube courses into the left upper abdomen . The dual - lead pacer appears appropriately positioned . Patient is rotated to the right . Lungs appear clear . No supine sign of effusion or pneumothorax . Bony structures are intact .
    OUTPUT:
    
Appropriately positioned gastrostomy and endotracheal tubes .