Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . An NG tube courses into the left upper abdomen . The tip of the endotracheal tube resides 1 cm above the carina . A VP shunt catheter courses over the right hemi thorax . An IVC filter is partially visualized . Extensive consolidation is noted bilaterally in a perihilar distribution . No acute osseous abnormality .
    OUTPUT:
    
Low - lying ET tube . Recommend retraction by at least 1 .5 cm for more optimal positioning . NG tube positioned appropriately . VP shunt an IVC filter noted . Bilateral perihilar opacities concerning for aspiration .