Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A 7 .7 x 3 .5 cm elliptical - shaped cavitary or cystic lesion is newly appreciated in the right juxta hilar region , corresponding to the superior segment right lower lobe on the lateral radiograph . It s appearance favors location within the lung rather than the pleura but this distinction is not certain . It s superior wall is thin , but the other wall portions are thicker , measuring up to 1 .6 cm medially . Additionally , there is an apparently new 1 .9 cm diameter nodular opacity in the right mid to lower lung at the level of the sixth anterior right ribs , not confidently localized on the lateral view . Bilateral lower lung predominant bronchial wall thickening and adjacent streaky opacities have worsened , and lungs remain hyperinflated consistent with history of COPD . Heart size remains normal , and aorta is mildly tortuous . Small pleural effusions are present , unchanged on the left but new on the right .
    OUTPUT:
    
New 7 .7 cm elliptical cavitary / cystic lesion in superior segment right lower lobe as well as an adjacent lung nodule . Findings could be due to infection including tuberculosis and fungal organisms , complicated aspiration pneumonia , and less likely an atypical manifestation of metastatic disease in this patient with history of gastric cancer . Chest CT is recommended to better localize and characterize this process .