Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The endotracheal tube is been pulled back and is now 6 cm above the carina . the right IJ line is unchanged . This is a rotated film and therefore it is difficult to assess for the degree of right lower lobe volume loss . A 4 cm rounded opacity is seen projecting to the right of the spine . It is unclear where this originates from . Is not been visualized on prior studies however we have not had a prior exam in this rotation . A CT scan would be needed for further assessment .
    OUTPUT:
    
1 . Improved location of the ET tube 2 . 4 cm mass projecting to the right of the spine . Recommend CT