Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 5 .4 cm from carina . An enteric tube tip courses below the left hemidiaphragm , through the stomach , and off the inferior borders of the film . Moderate enlargement of the cardiac silhouette is demonstrated . Left perihilar opacity is associated with left upper lobe volume loss , and is concerning for underlying malignancy . There is mild pulmonary vascular congestion , asymmetrically pronounced on the left . No large pleural effusion or pneumothorax is detected . Lungs appear hyperinflated with probable emphysematous changes in the right apex .
    OUTPUT:
    
1 . Standard positioning of the endotracheal and enteric tubes . 2 . Left perihilar opacity concerning for underlying malignancy . Further assessment with chest CT is recommended , if not done previously . There appears to be associated left upper lobe volume loss . 3 . Mild asymmetric pulmonary vascular congestion , more pronounced on the left .