Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Semi-upright portable AP view of the chest was provided . The endotracheal tube is seen with its tip residing approximately 5 .9 cm above the carina . The NG tube courses into the left upper abdomen . Layering bilateral pleural effusions are noted with lower lobe consolidation , likely atelectasis , though can not exclude pneumonia / aspiration . The upper lungs appear well aerated . Heart size is difficult to assess . The mediastinal contour is unremarkable . There is a deformity of the left distal clavicle , which is incompletely characterized .
    OUTPUT:
    
Tubes positioned appropriately . Bilateral effusions with lower lobe atelectasis , can not exclude pneumonia or aspiration . Left distal clavicular deformity . Recommend dedicated views of the left shoulder to further assess .