Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . There is again a right - sided aortic arch , and the aorta is moderately tortuous . The mediastinal and hilar contours appear unchanged , however . Since prior radiograph , there is a new retrocardiac opacity as well as increased mid lung opacity , probably in the lingula , worrisome for pneumonia in the appropriate setting . Streaky right lower lung opacity is also noted . A calcified granuloma projects of the left upper lobe . Bilaterally , nipple shadows are visualized . The chest appears hyperinflated . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Patchy basiliar opacities concerning for pneumonia . Hyperinflation .