Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 3 .8 cm above level chronic . Enteric tube courses below the diaphragm , correlate within the stomach . Multi lead left - sided pacer device is seen with leads in expected positions of the right atrium , right ventricle , and likely Coronary sinus . The patient is also status post median sternotomy and CABG . Large right basilar consolidation is seen . There are also patchy left mid lung opacities , smaller in size than that seen in the right lung . Findings may be due to multifocal sites of pulmonary hemorrhage versus multifocal infection . Of note , a patient has reported metastatic the renal cell carcinoma . No large pleural effusion or pneumothorax is seen . The cardiac silhouette is top - normal to mildly enlarged . The aorta is calcified and tortuous .
    OUTPUT:
    
Endotracheal and enteric tubes in appropriate position . Large right basilar consolidation as well as patchy areas of left mid lung consolidation . Differential diagnosis includes multifocal pulmonary hemorrhage , multifocal infection . Upon further review of the___ medical record , the patient has metastatic renal cell carcinoma .