Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , consistent with known emphysema . Opacity is again seen within the right upper lobe compatible with known malignancy with a fiducial marker identified . There is increased opacity adjacent to tumor , most likely representing post-obstructive infection or atelectasis . There is a new patchy opacity in the right lung base , which likely represents infection . Bibasilar atelectasis or scarring is seen . The cardiomediastinal silhouette is unremarkable . Sclerotic lesion in the left humeral head is unchanged from ___ , likely representing medullary infarct or enchonroma . A stable bone island is seen in the left glenoid .
    OUTPUT:
    
Multifocal pneumonia in the right lung .