Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously reported 7 mm diameter nodular opacity in the left lower lung is again demonstrated , as well as multiple additional subcentimeter nodules throughout both lungs . A dominant mass is present in the superior segment of the right lower lobe , measuring at least 6 .5 cm in diameter , with adjacent right hilar , and likely mediastinal nodal involvement in the subcarinal and possibly the azygos nodal stations . A subtle interstitial pattern is also present in the right mid and lower lung regions . There are no pleural effusions . Heart size is normal . No acute skeletal findings .
    OUTPUT:
    
Large superior segment right lower lobe mass is consistent with a primary lung cancer . Associated intrathoracic lymph node enlargement , widespread pulmonary metastases and possible lymphangitic carcinomatosis . Further evaluation with contrast - enhanced chest CT is recommended , as entered into radiology communications dashboard on ___ .