Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a large left upper lobe cavitary lesion with associated pleural thickening . Additionally , on the lateral view , there is a well - circumscribed opacity projecting in the posterior compartment over the spine , likely at the apex of the left lower lobe concerning for a second lesion . There is no pleural effusion or pneumothorax . The heart size is normal . The bones are intact .
    OUTPUT:
    
Large left upper lobe cavitary lesion with second well - circumscribed lesion in the apex of the left lower lobe . These findings are concerning for either tuberculosis or malignancy . Recommend chest CT for further evaluation . Findings were entered into the critical results dashboard by Dr . ___ at 5 : 15 pm and then discussed with Dr . ___ ___ telephone at 6 : 20 pm .