Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable semi upright view of the chest . Endotracheal tube is seen with its tip located 5 cm above the carinal . The endogastric tube descends into the left upper abdomen . Lower lobe consolidations are extensive an concerning for aspiration . Small bilateral pleural effusions likely present . No large pneumothorax on this semi upright projection . Please note , if there is strong clinical concern for pneumothorax , CT advised . Chronic left rib deformities noted .
    OUTPUT:
    
Tubes positioned appropriately . Extensive lower lobe consolidations concerning for pneumonia . No large pneumothorax though if concern persists , CT advised .