Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Enlargement of the right hilus is likely due to lymphadenopathy . The right apical primary lesion has increased in size compared to prior exam with mild leftward deviation of the trachea suggestive of mediastinal invasion . Reticular opacities of the right mid and upper lung with may be due to post radiative fibrotic change however postradiation pneumonia can not be excluded . The right lower lung and left lung are clear . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Interval increase in size of right apical primary lung lesion . Fullness of the right hila suggestive of lymphadenopathy . Increased reticular opacities of the right mid and upper lung may be due to postradiation fibrosis , however , post radiation pneumonia can not be excluded . Further evaluation , if clinically indicated , may be performed with dedicated chest CT . Results were discussed over the telephone with Dr . ___ by ___ ___ on ___ at 1 : 16 pm at time of initial review .