Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 6 cm from the carina . The cardiac , mediastinal and hilar contours are normal . Atherosclerotic calcifications are demonstrated at the aortic knob . Lungs are hyperinflated with attenuation of the pulmonary vascular markings towards the apices compatible with emphysema . No focal consolidation , pleural effusion or pneumothorax is present . No displaced fractures are visualized .
    OUTPUT:
    
Standard positioning of the endotracheal tube . Emphysema .