Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: ET tube terminates approximately 4 .6 cm above the carina . There is an enteric tube which extends below the diaphragm with the tip out of view of this film . There is a large left posterior mediastinal mass , as well as evidence of a large left hilar mass , incompletely evaluated on this exam , however concerning for malignancy . Nodules are seen in the right lung , measuring up to .8 - cm also concerning for malignancy . There is a small left pleural effusion . There is no evidence of a pneumothorax . The visualized osseous structures are unremarkable .
    OUTPUT:
    
1 . ET tube terminates approximately 4 .6 cm above the carina . 2 . Ill - defined large left posterior mediastinal mass and left hilar mass , incompletely evaluated on this exam , is concerning for malignancy . Nodular opacities in the right lung measuring up to 1 - cm , is also concerning for malignancy . A new CT or comparison to the outside hospital CT performed on the prior day is recommended for further evaluation . Findings were discussed with Dr . ___ by Dr . ___ by phone at 8 :___ A on the day of the exam .