Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . An endotracheal tube is seen with its tip residing 2 .6 cm above the carinal . A right IJ central venous catheter descends into the low SVC . The lungs are clear bilaterally . No definite signs of effusion or pneumothorax . The cardiomediastinal silhouette appears normal . There is an acute fracture in the involving the right fifth rib .
    OUTPUT:
    
ET tube positioned appropriately . Right IJ central venous catheter descends into the low SVC . Right fifth rib fracture .