Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The aorta is tortuous and diffusely calcified . Hilar contours are unremarkable , and there is no pulmonary edema . Within the left upper lobe is a 2 .8 x 2 .5 cm rounded opacity , new in the interval , concerning for a neoplastic mass . Innumerable nodular opacities in the right mid lung field and both lung bases are also new . No focal consolidation , pleural effusion or pneumothorax is present . Dextroscoliosis of the thoracic spine is again noted with mild degenerative changes . Left axillary clips are re - demonstrated .
    OUTPUT:
    
1 . 2 .8 x 2 .5 cm rounded mass in the left upper lobe concerning for neoplasm , new from the prior chest radiograph . Further assessment with contrast - enhanced CT is recommended . 2 . Multiple new nodular opacities in both lung bases concerning for metastatic disease . Infection / small airways disease is not completely excluded in the correct clinical setting .