Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with moderate emphysematous changes again demonstrated . Heart size is normal . The mediastinal and hilar contours are unremarkable . There is no pulmonary vascular congestion . New focal consolidative opacity is seen within the right lung base . There is likely a small right pleural effusion . Left lung is clear . No pneumothorax is demonstrated . Compression deformity of a mid thoracic vertebral body is unchanged .
    OUTPUT:
    
Right basilar consolidative opacity concerning for pneumonia . Followup radiographs after treatment are recommended to ensure resolution of this finding as an underlying malignancy is not excluded . Moderate emphysema . Small right pleural effusion .