Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There is a large confluent opacification in the right upper lobe that likely represents a mass that likely arose from nodule seen on previous radiograph . In the right middle and lower lung , this are two rounded , slightly spiculated nodules that likely represent metastasis . The left lung appears relatively clear . There is no pleural effusion or pneumothorax . The cardiac , and mediastinal contours are normal .
    OUTPUT:
    
Right upper lobe mass and right middle and right lower lung nodules concerning for lung carcinoma with metastasis . Suggest CT to further evaluate . These findings were discussed with Dr . ___ at 12 p .m . on ___ by telephone .