Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a 3 - cm irregularly marginated mass in the lingula , which has grown since prior studies . Other previous findings including the right lower lobe round atelectasis and bilateral pleural plaques / pleural thickening appear similar to prior studies . The cardiac silhouette is stable and top normal in size . The aorta is slightly tortuous but stable in appearance . Linear vertically oriented opacity seen in previous chest radiographs appears unchanged , most likely represent scarring adjacent to pleural plaques . Lungs are hyperinflated suggesting COPD . There is stable persistent blunting of the right costophrenic angle and stable interstitial opacities within the lower lungs . Stable multilevel degenerative changes of the thoracic spine are noted . There are scattered areas of focal pleural thickening noted .
    OUTPUT:
    
Irregularly marginated 3 - cm mass in the lingula has grown since prior studies . Although previously attributed to round atelectasis , its growth and margins raise the potential concern for a slowly growing lung adenocarcinoma . CT of the chest is recommended for further evaluation of this finding . These findings were discussed with Dr . ___ via phone at 3 :05 p .m . by ___ .