Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Patient is intubated . Endotracheal tube terminates about 5 cm above the carina . An orogastric tube terminates in the stomach where it makes a single coil . Aorta is moderately tortuous and mildly calcified . Heart is normal in size . There is no pleural or pericardial effusion . I density at the medial right lung apex , also medial to the anterior right first rib is indeterminate . Elsewhere the lungs appear clear .
    OUTPUT:
    
Indeterminate small opacity at the right lung apex , possibly scarring or atelectasis , but a nodule is not excluded . No definite evidence of acute disease . Repeat radiographs are recommended when clinically appropriate in order to ascertain whether a possible right upper lobe opacity may persistent investigate further if warranted .