Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Tip of the tracheostomy tube has a lateral orientation directed to the left of midline . However , this is difficult to assess in the setting of rightward patient rotation . Diffuse mediastinal widening consistent with known thyroid mass appears unchanged , and cardiac silhouette is stable as well . Within the lungs , widespread pulmonary metastases are again demonstrated as well as persistent right lower lobe atelectasis and / or consolidation . Improved aeration at left lung base . No change in small right pleural effusion . Feeding tube has been advanced in the interval , now terminating in the body of the stomach .
    OUTPUT:
    
1 . Advancement of feeding tube , now terminating in the stomach . 2 . Large thyroid mass and widespread pulmonary metastases in keeping with history of metastatic thyroid cancer .