Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There right upper lobe paramediastinal mass is again noted with subsequent volume loss in the right hemi thorax and superior elevation of right hilum . Thickening of the right paratracheal stripe is compatible with known adenopathy . There is no new consolidation nor effusion . Cardiac silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
Known right upper lobe mass and mediastinal adenopathy without superimposed acute cardiopulmonary process .