Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . The mediastinum appears widening . The right hilum is persistently enlarged . . The lungs are clear . There is no pneumothorax or pleural effusion . The osseous structures are unremarkable
    OUTPUT:
    
Persistent enlargement of the right hilum and widening mediastinum suggest the presence of lymphadenopathy CT is recommended