Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is status post bilateral upper lobe wedge resection procedures , and fiducial seeds are also demonstated . A confluent opacity is present in the right suprahilar region projecting posteriorly in close proximity to surgical chain sutures . Lungs are overinflated with evidence of bullous emphysema in the retrosternal region . Lungs are otherwise remarkable for scattered areas of linear parenchymal scarring . Heart size is normal . Bilateral hilar enlargement is present , with persistent asymmetry , right greater than left . Although possibly related to pulmonary hypertension , the presence of lymphadenopathy should be considered . Focal eventration of the left hemidiaphragm is present posteriorly . No definite pleural effusions . Diffuse osseous demineralization is noted as well as a wedge compression deformity in the mid thoracic spine which is of indeterminate age . Healed rib fractures are present bilaterally .
    OUTPUT:
    
Confluent mass - like opacity adjacent to surgical chain sutures in the right suprahilar region . Although possibly due to a focal pneumonia in the setting of COPD exacerbation , a neoplastic mass is also an important consideration in this patient with history of lung malignancy . In the absence of prior baseline CXR for comparison , CT of the chest ___ be helpful both to better characterize the focal lung abnormality , and to evaluate for possible right hilar lymphadenopathy . Findings communicated by telephone to Dr . ___ at 4 :05 p .m . at the time of discovery on ___ .