Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Rotated positioning . There is cardiomegaly , unchanged . Air overlying the right inferior cardiac silhouette relates to a very large pulmonary bulla seen on the ___ CT scan . Lobulated calcified densities at the lung apices are again noted , unchanged . An additional nodular density is seen in the right upper zone , partially obscured by the EKG lead on today 's study . Otherwise , doubt focal consolidation , overt CHF , or gross effusion . Minimal blunting of the right costophrenic angle can not be excluded . Old , healed right - sided rib fractures are present . 2 NG type catheters appear to be present . 1 has a radiopaque tip that overlies the lower esophagus and adjoining gastric fundus . The other overlies the distal esophagus .
    OUTPUT:
    
1 . 2 NG type catheters appear to be present . 1 has a radiopaque tip that overlies the lower esophagus and adjoining gastric fundus -- this does not lie a completely within the stomach . The second catheter overlies the distal esophagus and does not extend into the stomach . 2 . Nodular density in the right upper zone , separate from the biapical densities . The differential diagnosis includes a non calcified granuloma of versus a pulmonary nodule or metastasis . Please see more complete description and recommendations provided in the chest CT report from ___ .