Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are unchanged signs of marked overinflation . Newly appeared are relatively extensive parenchymal opacities in the right upper lobe and in the left upper lobe . Additional opacities are seen at the bases of the right upper lobe . In the appropriate clinical context , the findings are consistent with multifocal pneumonia . At the time of observation and dictation , 11 :41 a .m . , on ___ , the referring physician , ___ . ___ was paged for notification and the findings were subsequently discussed over the telephone . No reactive pleural effusions . No cardiomegaly , no hilar or mediastinal changes .
    OUTPUT:
    
Multifocal pneumonia in a patient with massive overinflation , likely caused by COPD . Resolution after therapy should be documented by chest radiography in 8 to 10 weeks , to confirm the absence of other parenchymal abnormalities .