Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Ill - defined large right upper posterior lung mass is increased in size from a nodule seen in a similar location on prior CT scans . No other suspicious pulmonary finding is seen with a calcification again projecting over the right breast . Trace right pleural effusion may be present . Heart is normal in size with normal cardiomediastinal contours . Hyperexpansion compatible with known emphysema is also seen . Right thyroid enlargement is suspected by slight deviation of the trachea to the left .
    OUTPUT:
    
Ill - defined large right upper lobe opacity is concerning for malignancy , and further assessment with chest CT is recommended . Finding was discussed with Dr . ___ at 15 : 23 on ___ by phone by Dr . ___ .