Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a round mass in the left lingula laterally measuring 5 .0 x 5 .6 x 6 .9 cm . There are numerous subcentimeter nodules diffusely distributed throughout bilateral lungs . There is no pleural effusion or pneumothorax . Cardiomediastinal silhouette is normal size .
    OUTPUT:
    
There is a round mass in the left lingula measuring 5 .0 x 5 .6 x 6 .9 cm . There are numerous subcentimeter nodules diffusely distributed throughout bilateral lungs . Findings are is highly suspicious of malignancy . Differential includes , but not limited to , germ cell tumors . Infection such as mycoplasma and miliary TB is possible although less likely . CT chest is recommended for further evaluation .