Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Endotracheal tube tip terminates approximately 7 .7 cm from the carina . An enteric tube tip terminates within the stomach . Heart size is normal . The mediastinal and hilar contours are normal . Pulmonary vasculature is not engorged . Lungs are hyperinflated with moderate emphysematous changes noted in the upper lobes . Within the left mid lung field is a 7 .6 x 9 .6 cm mass , new from the previous study . Remainder of the lungs are clear . No pleural effusion or pneumothorax is present . No acute osseous abnormality is detected .
    OUTPUT:
    
1 . Standard positioning of the endotracheal and enteric tubes . 2 . 9 .6 cm left mid lung field mass concerning for malignancy . CT of the chest with contrast is recommended for further assessment . 3 . Upper lobe predominant moderate emphysema .