Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is intubated and lying on a trauma board . The endotracheal tube is approximately 6 cm from the carina . The orogastric tube courses through the esophagus , into the stomach , and inferiorly out of the field of view . The lungs are clear . The hilar and cardiomediastinal contours are normal . There is no pneumothorax . There is no pleural effusion . Pulmonary vascularity is normal .
    OUTPUT:
    
The endotracheal tube could be advanced for more optimal positioning . No acute cardiopulmonary process .