Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral radiographs of the chest were acquired . As before , the lungs are hyperinflated , with flattening of the hemidiaphragms and enlargement of the retrosternal airspace , consistent with asthma and / or COPD . Very subtle hazy opacities in the right lower lobe are new compared to the prior study from ___ , possibly atelectasis or a very early pneumonia . A calcified left lung granuloma is unchanged . The lungs are otherwise clear . Enlargement of the cardiac silhouette is not significantly changed . The mediastinal contours are normal aside from unchanged mild tortuosity of the descending thoracic aorta . There are no pleural effusions . No pneumothorax is seen .
    OUTPUT:
    
1 . Likely right lower lobe atelectasis , although a very early pneumonia can not be excluded . 2 . Findings consistent with COPD . Pertinent findings were discussed with Dr . ___ by ___ at 12 :38 p .m . via telephone on the day of the study .