Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased prominence of the left hilum and increased opacity which is raises concern for increasing left hilar mass / lymphadenopathy . Large rounded pleural - based opacity in the right upper to mid lung today measures 6 .7 by approximately 5 .5 cm compared to today 's measurement of the prior CT is 4 .9 x 4 .2 cm , givenyt differences in modality . Multiple ribs bilaterally show evidence of destruction as better evaluated on CT . In addition , there are lytic lesions in scattered in the hemothorax including lucencies involving the ribs , clavicles , sternum , scapulae . No definite focal consolidation is seen . There is no pleural effusion or intimal thorax . The cardiac silhouette is top - normal . There is increased paratracheal soft tissue opacity which may be due to current worsening lymphadenopathy .
    OUTPUT:
    
Interval progression of disease with increase in size of right pleural based mass and increase left hilar opacity and paratracheal opacity may be due to a worsening lymphadenopathy . Extensive osseous metastatic disease .