Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A poorly defined 2 .5 cm diameter nodule is present anteriorly in the right upper lobe , accompanied by possible right paratracheal and right hilar lymph node enlargement . A nonspecific opacity is also identified in the right infrahilar region , difficult to fully characterize due to summation of structures in this region . Heart size is normal . Aorta is diffusely calcified . Lungs are hyperexpanded . No pleural effusion . Bones are diffusely demineralized .
    OUTPUT:
    
Right upper lobe lung nodule with possible adjacent mediastinal and hilar lymphadenopathy . Given the clinical history of suspicious bone lesion , observed findings are most concerning for primary lung cancer . Further evaluation with dedicated chest CT is recommended . Dr . ___ was telephoned with this finding and recommendation at 9 a .m . on ___ at the time of discovery . This information has also been entered into the radiology communications dashboard on ___ .