Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: CHEST , SINGLE AP PORTABLE VIEW The carina is not well delineated . Allowing for this , the ET tube lies approximately 4 .6 - 5 .3 cm above the carina . An NG tube is present -- the tip extends beneath diaphragm , off film . Additional tubing is looped over the upper abdomen in the midline . A right IJ sheath is present , tip over distal IJ , proximal to its point of confluence with the subclavian vessel . Of note , a stent is present in this location . An additional stent is seen along the expected course of the left innominate vein . The lungs are hyperinflated . The heart lies to the left of midline , raising the question of some volume loss on the left side . There is increased retrocardiac density . There are prominent interstitial markings in both lungs , of uncertain etiology or significance . The hila are obscured by the interstitial markings . No gross effusion . Innumerable calcific densities in the spleen suggest prior granulomatous disease . Two calcified nodes are also seen along the expected course of the splenic artery . Question also a calcified node in the neck . The bones appear diffusely dense . Compared to ___ , no definite change is detected . Increased retrocardiac density consistent with left lower lobe collapse and / or consolidation is again seen .
    OUTPUT:
    
1 . Right IJ sheath position appears slightly proximal to the right subclavian vein at the site where a stent is seen . There is also kinking of the sheath at the skin . Correlation with specifics of clinical presentation is requested . Targeted review of the report from a ___ chest CT refers to occlusion of the left subclavian vein stent . 2 . Left lower lobe collapse and / or consolidation and minimal patchy opacity at the right base , unchanged . 3 . Extensive calcified granulomas , similar to prior . 4 . Diffusely increased osseous density . There is an extensive differential , which should be correlated with the clinical presentation . The differential includes changes due to osteodystrophy . In the appropriate clinical setting , osteosclerosis could have a similar appearance .