Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Adenopathy in the right hilus and a posterior lung or pleural mass projecting on the lateral view over the pedicles of the lower thoracic spine are both new since ___ . The posterior lesion is at least 3 x 6 cm . The mass at the lower pole the right hilus is nearly nearly 5 cm in greatest diameter and greater than normal density of the upper portion of the hilus may be due to additional lymph nodes there . 3 or 4 healed right anterior rib fracture should not be mistaken for additional lung nodules , although nodules that small might not be detected by conventional radiographs . Mediastinal adenopathy is not apparent and there is no pleural effusion . Heart size is normal .
    OUTPUT:
    
New right hilar adenopathy and peripheral right lung or pleural mass , malignant until proved otherwise .