Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new oval ___ x 12 mm radioopacity has developed in the right lung at the level of the ___ anterior interspace . There is a suggestion of greater fullness in the right paratracheal region of the mediastinum and increase in previous mild lobulation of the right hilus both suggesting interval lymph node enlargement . Two small calcifications in the left hilus are more radiodense today than in ___ . Lateral view raises the question of a second lung nodule also oval in shape , ___ x 9 mm at projecting between the sternum and the ascending thoracic aorta . Mild loss of height is present at multiple thoracic vertebral bodies , probably a function of patient 's age . There is no pleural effusion . Heart size is normal and pulmonary vasculature are unremarkable .
    OUTPUT:
    
At least 1 , perhaps 2 new lung nodules suspicious for malignancy accompanied by an increase in what may have been pre-existing lymph node enlargement in the right paratracheal station of the mediastinum and the right hilus . If there are any calcifications in the left hilus , it is possible that the lymphadenopathy preseason may not necessarily be related to the new lung nodules , due to sarcoidosis instead . I strongly recommend CT scanning and comparison with any pre-existing cross - sectional imaging of the chest .