Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Focal mediastinal contour abnormalities in the aorticopulmonary and lower right paratracheal region are accompanied by bilateral hilar enlargement with lobulation and associated opacity in the inferior hilar window on the lateral view . Together , these findings are concerning for mediastinal and bilateral hilar lymphadenopathy . Lungs are clear , and there are no pleural effusions or acute skeletal findings . Within the imaged portion of the abdomen , there is apparent splenic enlargement with medial displacement of the gastric bubble . Hepatic contour also appears prominent , but these contours are not optimally evaluated on a chest radiograph exam .
    OUTPUT:
    
1 . Findings suggestive of mediastinal and bilateral hilar lymph node enlargement . Lymphadenopathy is not a common manifestation of malaria , which more commonly presents with pulmonary findings of ARDS or eosinophilic pneumonia . In the absence of older radiographs for comparison , consider chest CT with contrast for confirmation and further characterization of this finding . Findings communicated to the physician covering for Dr . ___ by telephone on ___ at 11 :38 a .m . at the time of discovery . 2 . Apparent splenomegaly , which may be related to history of malaria .