Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new right perihilar opacity with associated increased opacity of the right upper lobe , and a new small right pleural effusion . Increased soft tissue density at the right paratracheal margin is indicative of possible mediastinal lymphadenopathy . No pneumothorax . Heart size is normal .
    OUTPUT:
    
The findings are concerning for an infectious process in the right upper lobe , with increased density in the mediastinum and right hilus , which may be secondary to reactive lymphadenopathy , however cross - sectional imaging is recommended for further evaluation and to exclude malignancy .