Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An ET tube is present , tip 3 .4 cm above the carina . 2 NG type tubes are seen , both extending beneath the diaphragm off the film . 1 has a side - port , which lies just beneath the diaphragm . No air - filled balloon is identified along the expected course of the esophagus . A curvilinear rim of air is seen along the inner aspect of the right upper lung . Based on comparison to the prior film , this likely represents air within the trachea projecting over the right lung due to patient rotation . If there is specific concern for pneumothorax or pneumomediastinum than in AP view with better visualization of the lung apices and upper mediastinum could be obtained . Cardiomediastinal silhouette is similar allowing for differences in positioning , with probable cardiomegaly Again seen are opacities over the mid and lower zones of both lungs , compatible with layering pleural effusions and underlying collapse and / or consolidation . Note is made of air bronchograms in the right - greater - than - left mid zones , compatible with pulmonary consolidation . Right upper quadrant surgical clips noted .
    OUTPUT:
    
Lines and tubes as described . Curvilinear lucency along the left upper lung question tear within the trachea projecting there due to rotation . If there is specific concern for pneumothorax or pneumomediastinum than in AP view with better visualization of the lung apices and upper mediastinum could be obtained . Bilateral consolidation and effusions again noted , similar to prior .