Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large spiculated mass in the right middle lobe . A small right pleural effusion is noted . No evidence of pneumothorax . The cardiac and mediastinal silhouettes are unremarkable .
    OUTPUT:
    
1 . Large spiculated right middle lobe mass highly suspicious for malignancy . 2 . Small right pleural effusion .