Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP single view of the chest shows diffuse multiple bilateral rounded pulmonary nodules , overall unchanged since chest x-ray on ___ , likely malignant . Heart size is normal . Mild vascular congestion is unchanged . Left subclavian Port - A - Cath is unchanged with tip ending at atriocaval junction . New NG tube has been placed with tip ending in distal gastric cavity and sidehole in proximal gastric cavity . There is no left pleural effusion , right pleural effusion is minimal if any . There is no pneumothorax .
    OUTPUT:
    
Correct positioning of NG tube . The exam is otherwise unchanged .