Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest has been obtained with patient in sitting semi-upright position . Comparison is made with the next previous available transferred chest examination dated ___ . The time interval is about five hours . Previous examination is indicated as supine position and the tip of the ETT is rather low terminating close to the level of the carina by less than 2 - cm distance . The present examination , which is obtained in semi-upright position confirms again the low position of the ETT barely 2 cm above the carina . Adjustment is recommended and place it about 3 - 4 cm higher up . On the present chest examination , there is no evidence of pneumothorax in the apical area . High positioned diaphragms are observed and probably related to an abdominal condition with markedly gas distended large bowel and stomach . There is no evidence of significant pleural effusion on this single view and no acute new infiltrates can be identified .
    OUTPUT:
    
Adjust ETT position as indicated . ___ was paged at 5 :40 p .m . The page number was ___ .