Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Despite the history of extubation , an endotracheal tube is present and terminates 1 .7 cm above the carina . An enteric tube ends in the esophagus and would need to be advanced at least 10cm to move all the sideports into the stomach . A left subclavian catheter tip terminates in the mid superior vena cava . Orthopedic hardware and a vascular abdominal stent are noted . The lung volumes are low which results in crowding of the bronchovascular structures . There is prominence of the central vasculature without overt evidence for pulmonary edema . A rounded opacity is seen at the right lung base and is new . There is no pleural effusion or pneumothorax . The cardiac size in normal . Apparent widening of the mediastinum is unchanged . Dilated air-filled loops of large bowel below the diaphragm . No free air seen on this supine only view .
    OUTPUT:
    
1 . ETT should be pulled back 2 - 3 cm for better positioning . 2 . Advancement of the enteric tube by at least 10 cm is recommended for positioning within the stomach . 3 . Air-filled loops of dilated bowel , no free air seen on this supine view . 4 . Right lower lung rounded opacity which may reflect metastatic disease , pulmonary infarction or atelectasis . This could be further evaluated with cross - sectional imaging or repeat radiograph at full inspiration . These findings were discussed with Dr . ___ by Dr . ___ at 11 :33 AM on ___ the time of discovery .