Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 04 :06 is submitted .
    OUTPUT:
    
Endotracheal tube has its tip 4 cm above the carina . The left internal jugular central line has its tip in the mid SVC . A nasogastric tube is seen coursing below the diaphragm with the tip projecting over the stomach . Lungs appear well inflated . There is a layering right effusion as well as interval development of focal airspace consolidation with air bronchograms in the right medial lung base . Given that the patient is intubated , this may reflect the presence of mucus plugging with collapse or pneumonia . Clinical correlation is advised . No pulmonary edema . No pneumothorax .