Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is elevated left hemidiaphragm with a left pleural effusion . In addition , there is abnormal opacity at the left pulmonary hilum with perihilar reticulation raising strong clinical concern for malignancy . CT correlation is strongly advised . The right lung is clear . The heart can not be clearly assessed . Bony structures appear grossly intact .
    OUTPUT:
    
Findings in the left hemithorax concerning for malignancy and correlation with CT is strongly advised .