Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest show a new 2 cm wide cavity lesion in the apex of the right upper lobe , bronchogenic carcinoma or tuberculosis . The lungs are otherwise clear . There are no pleural effusion . The longstanding saber - sheath deformity of the trachea and hyperinflation reflect COPD . The mediastinum is normal . Heart size is top normal .
    OUTPUT:
    
Right upper lobe cavity concerning for tuberculosis or mass . Results were communicated with Dr . ___ at 1 :35 p .m . on ___ via telephone by Dr . ___ .