Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is a large right hilar mass since the prior study as well as a new nodule in the right lung worrisome for perhaps a primary or metastatic focus of malignancy . Elsewhere , the lungs appear clear . There no pleural effusions or pneumothorax . Bony structures are unremarkable .
    OUTPUT:
    
Findings consistent with malignancy including suspicious right upper lobe nodule and marked right - sided perihilar lymphadenopathy . Chest CT is recommended to evaluate further when clinically appropriate .