Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 3 .5 cm above the level of the carina . Enteric tube courses below the level of the diaphragm into the left upper quadrant , inferior aspect not included on the image . The lungs remain hyperinflated and there is mild left basilar atelectasis . Spiculated left upper lobe pulmonary nodules seen on ___ CT , subtle suggestion of which is seen on the current study , better assessed on CT . There now appears to be increased opacity in that region along the left mid lung , underlying infection not excluded . Additional smaller bilateral pulmonary nodules also better assessed on CT . Patient has known destructive lesions involving the right sixth and ninth ribs which are also seen on this study . There is questionable lucency also involving the lateral right seventh rib . Right chest wall opacity associated with the right sixth rib is discussed with lesion again seen . No large pleural effusion is seen . There is no evidence of pneumothorax . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
Endotracheal and enteric tubes in appropriate position . Known left upper lobe spiculated nodule better assessed on CT . Interval increase in subtle increase in opacity of the left mid lung raises concern for underlying infection in region of pulmonary nodule or possibly spread of disease . Known right - sided destructive rib lesions with associated soft tissue also better assessed on CT .