Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube terminates approximately 4 .9 cm of the level of the carina . Enteric tube courses below the diaphragm , inferior aspect not included on the image . There are relatively low lung volumes . There are apparent numerous punctate nodular pulmonary opacities bilaterally of unclear clinical significance , but which could relate to prior granulomatous disease , other miliary infection , artifact , correlate with history of malignancy . Suggest dedicated chest CT for further assessment .
    OUTPUT:
    
apparent numerous punctate nodular pulmonary opacities bilaterally of unclear clinical significance , but which could relate to prior granulomatous disease , other miliary infection , artifact , correlate with history of malignancy . Suggest dedicated chest CT for further assessment