Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable AP supine chest film ___ at 04 :42 is submitted .
    OUTPUT:
    
Nasogastric tube is seen coursing below the diaphragm . The pulmonary arteries remain prominent and may reflect underlying pulmonary artery hypertension . Several calcified masses in the left lower lobe better seen on the CT from ___ are not well visualized . There continues to be more focal consolidation at the left base likely with an associated effusion . Overall , however , the left lower lobe process appears to be worsening suggesting that there likely is a superimposed infectious process . Clinical correlation is advised . No evidence of pulmonary edema . No pneumothorax . Multiple calcified nodes are again seen in the neck . Hardware is seen overlying the mid to lower cervical spine .