Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is flattening of the bilateral hemidiaphragms and hyperexpansion of the lungs compatible with COPD . Ill - defined airspace opacities in the right mid lung zone may represent infectious foci ; however , pulmonary nodules or masses are not excluded . No significant pleural effusion or pneumothorax is present . The pulmonary vasculature is not engorged and there is no evidence of overt pulmonary edema . The cardiac silhouette is moderately enlarged as noted on prior studies . A left pectoral pacemaker is in place with two leads terminating in the right atrium and right ventricle , respectively . The mediastinal contours are within normal limits . The right hilum is prominent on the current examination . The trachea is midline . The visualized upper abdomen is unremarkable .
    OUTPUT:
    
1 . New ill - defined nodular opacities of the right mid lung concerning for pneumonia in the appropriate clinical context . A followup chest radiograph is recommended in 6 weeks ' time after a course of treatment to confirm resolution . 2 . Moderate cardiomegaly without evidence of acute congestive heart failure .