Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . Mediastinal contour is unremarkable , although mediastinal lymphadenopathy was noted on the prior CT . Right hilar enlargement is compatible with known lymphadenopathy . 3 .5 cm right upper lobe mass and 1 .4 cm ill - defined nodule within the medial aspect of the superior segment of the left lower lobe are compatible with known sites of malignancy . Lungs are hyperinflated with flattening of the diaphragms and evidence of emphysematous changes . No focal consolidation , pleural effusion or pneumothorax is seen . There is diffuse demineralization of the osseous structures which limits detailed assessment . Known osseous metastatic lesions involving the thoracic spine , predominantly within the upper thoracic spine as well as within the ribs bilaterally are better seen on the recent CT .
    OUTPUT:
    
Right upper lobe 3 .5 cm mass and 1 .4 cm ill - defined nodule in the left lower lobe compatible with known malignancy . Unchanged right hilar adenopathy , and mediastinal lymphadenopathy is better seen on the prior CT . Diffuse osseous metastatic lesions are better seen on the prior CT and diffuse osteopenia limits assessment of the osseous structures . If there is continued concern for a fracture , then CT is suggested .