Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new mass - like appearance to the left hilum worrisome for underlying neoplasm and in addition the left upper mediastinal contours are newly thickened and lobular which raises concern for coinciding lymphadenopathy . There is no pleural effusion or pneumothorax . Bony structures are unremarkable .
    OUTPUT:
    
Findings worrisome for new left perihilar mass as well as mediastinal lymphadenopathy . Chest CT is recommended .