Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are well - expanded . There is diffuse interstitial opacity throughout the lungs bilaterally , better evaluated on the recent CT . There is diffuse pleural thickening bilaterally . No focal consolidation or pleural effusion is identified . Severe central adenopathy is better appreciated on the concurrent chest CT scan , reported separately . The imaged upper abdomen is unremarkable . The bones are intact .
    OUTPUT:
    
Bilateral hilar and mediastinal adenopathy , diffuse interstitial opacities and pleural thickening better evaluated on the CT chest from the same day and consistent with malignancy with metastatic malignancy or , alternatively , concurrent malignancy and another cause of symmetric central adenopathy and interstitial pulmonary abnormality , such as sarcoidosis .