Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The mass in the medial aspect of the right lower lobe is again visualized but appears increased in size compared to prior imaging which may represent progression in the size of the mass or adjacent postobstructive pneumopathy . There is interval increase in ground - glass airspace opacification in the right middle and lower lung zones as well as in the left upper and lower lung zones . Associated small pleural effusions bilateral ( new on the left ) . Expansile bony lesions involving the anterior aspect of the left first rib and posterior aspect of the left sixth rib is unchanged . Heart size is unchanged . Cervicothoracic spinal stabilization device in situ .
    OUTPUT:
    
Interval progression of the mass in the medial aspect of the right lower lobe as described above . Multi focal ground - glass airspace opacification suggesting multi lobar pneumonia or in the setting of hemoptysis may represent pulmonary hemorrhage .