Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Multifocal lymphadenopathy is present , most marked in the right hilar and subcarinal regions and likely also involving the mediastinum and left hilum to a lesser degree . The lungs are mildly hyperexpanded and are clear . The heart size is normal . Small left pleural effusion is likely .
    OUTPUT:
    
1 . Multifocal lymphadenopathy , most severe in the right hilum and subcarinal region . Further evaluation with CT contrast is recommended . Differential diagnosis includes small cell lung cancer , lymphoma , TB , and metastatic disease . 2 . No pneumonia .