Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a focal , poorly - defined mass in the right upper lobe measuring up to 3 .8 - cm and a diffuse miliary pattern of micronodules throughout both lungs . The cardiomediastinal silhouette is normal . There is no evidence of effusion or pneumothorax . No acute osseous abnormalities are present .
    OUTPUT:
    
Focal right upper lobe mass with milliary pattern of nodules in both lungs . Differential considerations include infectious ( TB , varicella , influenza , and disseminated fungal disease ) , metastatic disease ( lung , particularly given the presence of a focal mass , thyroid , breast , or melanoma ) or sarcoid . Could consider chest CT for further evaluatation . Findings discussed Dr . ___ by Dr . ___ at 9 :20 AM on ___ via phone .