Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable semi-erect chest film ___ at 22 :59 is submitted .
    OUTPUT:
    
Interval intubation with the endotracheal tube having its tip 3 .3 cm above the carina . Interval placement of nasogastric tube which is seen coursing below the diaphragm and the tip is not identified . A portion of the VP shunt is seen overlying the right chest . Cardiac and mediastinal contours are likely stable given differences in positioning and technique . There are streaky bibasilar opacities likely reflecting atelectasis . No pneumothorax . No pulmonary edema . Possible small layering left effusion .