Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Severe lung hyperinflation is again noted , consistent with known emphysema . Indistinct opacities in the lateral segment of the right middle lobe are new . No pleural effusion or pneumothorax . Heart size is normal . Cardiomediastinal hilar silhouettes are unremarkable . Mild thoracic scoliosis unchanged .
    OUTPUT:
    
Lateral segment right middle lobe pneumonia .