Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with a right lower lobe opacity . A granuloma is noted in the left apex . Also noted is atelectasis in the left lower lobe . The cardiomediastinal silhouette , hilar contours , and pleural surfaces are normal . No pleural effusion or pneumothorax is present .
    OUTPUT:
    
Right lower lobe pneumonia . Hyperexpanded lungs likely secondary to COPD . Recommend follow - up radiographs in ___ weeks after adequate treatment .