Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A single portable AP chest radiograph was obtained . An endotracheal tube terminates appropriately 5 cm above the carina . The tip of a right internal jugular central line is in the low SVC . There is an EJ line in the right neck . An orogastric tube tip is in the stomach . Sternal wires and mediastinal clips reflect prior thoracic surgery . There has been a resection of the medial right clavicle . The lungs are well expanded . Central bronchovascular cuffing is more evident compared with the exam this AM . A well - circumscribed left lower lobe nodule was not clearly seen on the prior radiograph . This opacity is near , but not clearly associated with an anterior rib end . There is no focal consolidation , effusion , pneumothorax . There are no abnormal cardiac and mediastinal contours .
    OUTPUT:
    
1 . Support and monitoring devices in appropriate positions . 2 . Central bronchovascular cuffing may reflect mild pulmonary vascular congestion 3 . 1 .6 cm left lower lobe nodule . A chest CT is necessary for evaluation , if not performed elsewhere . This finding was reported to Dr ___ ___ phone at ___ on ___ .