Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated compatible with known COPD . Bibasilar bronchiectasis and bronchial thickening is stable . Right costodiaphragmatic sulcus is chronically thickened . There is new mild focal opacity measuring 2 cm at the right lung base , not visible on the lateral view , of unknown significance . There is no pleural effusion or pneumothorax . Bi-apical scarring change with calcification is also unchanged . Mediastinal and cardiac contours are within normal limits with left pectoral atrioventricular pacemaker . Healed right rib fracture is unchanged with thoracic spine compression fracture .
    OUTPUT:
    
New focal opacity at the right lung base that is not seen on the lateral view is of indeterminate significance . This has been discussed with Dr . ___ . The patient does not have any infectious symptoms . It could only be atelectasis . A chest x-ray followup in a month has been suggested .