Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . Patchy right middle lobe opacity is worrisome for pneumonia in the appropriate clinical setting . The lungs are relatively hyperinflated , suggesting chronic obstructive pulmonary disease . The left lung is clear . No pleural effusion or pneumothorax is seen . The aorta is calcified and tortuous . The cardiac silhouette is not enlarged . Degenerative changes are seen along the spine .
    OUTPUT:
    
Patchy right middle lobe opacity raises concern for consolidation due to pneumonia given the clinical symptoms . The above findings were discussed with Dr . ___ at 9 :45 p .m . on ___ via telephone .