Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Since the prior examination , there is interval development of opacification along the medial right base that in setting of productive cough is concerning for infection . This is in the setting of bibasilar fibrotic change , and right apical thickening as better appreciated on prior CT examinations , most recent from ___ . There are reduced lung volumes . Irregularity of the peripheral vasculature is in keeping with emphysema . The cardiomediastinal and hilar contours are normal . Pulmonary vascularity is normal .
    OUTPUT:
    
Increased confluent opacity involving the medial aspect of the right base since prior examination from ___ raises concern for acute infection superimposed upon chronic basilar predominant fibrotic change . Recommend followup to resolution . Findings were logged into the critical results dashboard at 5 :30 p .m . on ___ .