Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 3 .6 cm above the carina . An orogastric tube extends at least to the stomach . A right IJ catheter terminates at the mid SVC . A left cardiac pacemaker projects a lead into the right atrium , however the defibrillation and ventricular pacer wires deviate at the level of the tricuspid valve , the latter possibly taking a left ventricular course . There is no pneumothorax or pleural effusion . Numerous predominantly right - sided nodular opacities are minimally changed since the prior two chest radiographs performed on the same day .
    OUTPUT:
    
1 . Widespread right nodular opacities may reflect multifocal pneumonia . Following resolution of acute symptoms , CT is recommended as these opacities could represent pulmonary nodules or masses . 2 . Possible left ventricular course of a pacemaker lead . Correlate with any available lateral radiographs , otherwise , one could be obtained here at ___ .