Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are parenchymal opacities in the right middle lobe . There are also ___-___ opacities in the region of the lingula . Dual - chamber pacer in the left upper chest terminates in the right atrium and ventricle , stable . Mild cardiomegaly and tortuous aorta is unchanged . There is no pleural effusion or pneumothorax . Hyperexpansion and flattened hemidiphragms suggest COPD .
    OUTPUT:
    
Right middle lobe and lingular pneumonia .