Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP portable supine view of the chest . ET tube is noted with its tip approximately 3 .9 cm above the carinal . A spiculated mass projects over the right pulmonary hilum likely representing primary malignancy . There has been interval increase in scattered bilateral pulmonary opacities most notable in the right upper lobe , likely representing progression of pneumonia given rapid interval change .
    OUTPUT:
    
Increased opacities primarily in the right upper lobe likely progression in pneumonia . Right hilum spiculated mass concerning for primary malignancy . Endotracheal tube positioned appropriately .