Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube is seen terminating approximately 4 .9 cm above the level of the carina . Nasogastric tube is seen , terminating in the distal esophagus , and should be advanced so that it is well within the stomach . The lungs are hyperinflated . There is a subacute old left posterior rib fracture . Subtle opacity projecting over this at this level most likely relates to fracture / bone changes . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax is seen . Right paratracheal calcification may represent a calcified lymph node . There are old right humeral fracture and posttraumatic and congenital deformity at the right shoulder with possible loose bodies .
    OUTPUT:
    
1 . Endotracheal tube in appropriate position . 2 . Nasogastric tube high in position , terminating in the distal esophagus . Recommend advancement so that it is well within the stomach . 3 . Hyperinflated but clear lungs . 4 . Subacute - to - old left ninth rib fracture with opacity projecting over it , which is felt to more likely be related to osseous change . Recommend comparison with priors and if the opacity has increased , consider chest CT to evaluate for underlying pulmonary nodule . 5 . Old fracture deformity and severe degenerative change at the right shoulder with possible loose body . The above findings and recommendation under # 2 were discussed with Dr . ___ ___ at 6 : 12 p .m . on ___ via telephone .