Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right IJ central line tip in the mid SVC . Endotracheal tube tip 4 cm above carina . No pneumothorax . Enteric tube tip in the mid stomach . Lungs are clear . No effusions . Normal heart size and pulmonary vascularity . There is indeterminate 2 .5 cm spiculated nodule in the left lung apex
    OUTPUT:
    
Indeterminate spiculated nodule left lung apex , worrisome for malignancy , as seen on CTA head and neck ___ 06 :30 .