Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates 0 .8 cm above the carina and points toward the right mainstem bronchus There is hyperinflation suggestive of probable background COPD . Probable mild cardiomegaly . Aorta is mildly tortuous . A 7 .7 mm calcific density in the AP view window likely represents calcified lymph node . Small calcified granuloma may be present in the right upper zone . There is upper zone redistribution , without overt CHF . No consolidation , pneumothorax , or large pleural effusion detected . An ovoid density measuring ___ .9 mm overlies the cardiac silhouette immediately to the left of the lower thoracic spine , not fully characterized on this examination . This is new compared with an outside scanned - in radiograph from ___ and may represent artifact . Hazy density adjacent to the right upper chest wall , below the edge of the scapula is noted , but may also represent artifact .
    OUTPUT:
    
ET tube terminates 0 .8 mm above the carina . Consider pulling back the ET tube by approximately 3 cm . Mild cardiomegaly and upper zone redistribution , without overt CHF . Suspect background COPD . No consolidation , pneumothorax , or large pleural effusion detected . Calcified node and probable small calcified granulomas , raising the possibility of prior granulomatous disease .