Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right hilum appears lobulated and enlarged , as well as slightly displaced . Additionally , there is thickening of the posterior wall of the bronchus intermedius on the lateral radiograph , and filling - in of the normally clear infrahilar region . The mediastinum is remarkable for thickening of the lower right paratracheal and azygos contours . Diffuse but asymmetrically distributed interstitial abnormality is present , present throughout the right lung and involving the left lung to a lesser degree . It is characterized by a combination of reticulation and septal thickening . Additionally , there is evidence of upper lobe emphysema . Asymmetrical right apical lateral pleural thickening or extrapleural fat is also demonstrated . Large retrosternal bulla is best visualized on lateral radiograph . There are no pleural effusions or acute skeletal findings .
    OUTPUT:
    
Right hilar and mediastinal fullness accompanied by asymmetrically distributed diffuse lung disease affecting the right lung more than the left . Findings are concerning for central juxtahilar mass with metastatic lymph nodes and lymphangitic carcinomatosis . However , a chronic diffuse lung disease accompanied by reactive lymphadenopathy is an additional consideration . Recommend initial further evaluation with contrast - enhanced chest CT as communicated by phone to Dr . ___ on ___ at 11 :30 a .m . , at time of discovery .