Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is normal in size . The mediastinal and hilar contours appear within normal limits . Irregularity and attenuation of lung markings in the upper lungs is consistent with a emphysema . There are also cuffed dilated airways in each upper lung , more so on the right than left . Although vague there is widespread increased density in the right mid to upper lung compared to the left suggesting pneumonia with an predominantly interstitial pattern .
    OUTPUT:
    
Findings suggesting pneumonia superimposed on chronic lung disease suspected to include both emphysema and bronchiectasis .