Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP upright view of the chest was provided . There is widening of the mediastinum with markedly thickened right paratracheal stripe . There is also right hilar convex bulge . Overall , these findings raise concern for mediastinal and right hilar lymphadenopathy . No focal consolidation , effusion , or pneumothorax . Heart size is normal . Bony structures are intact .
    OUTPUT:
    
Mediastinal and right hilar widening / prominence is concerning for bulky lymphadenopathy and CT chest is recommended to further assess . Findings were discussed with Dr . ___ at approximately 4 : 15 p .m . on ___ .