Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size is normal . Calcified right hilar lymph nodes are compatible prior granulomatous disease . The mediastinal and hilar contours are otherwise unchanged . Lungs are hyperinflated with mild upper lobe predominant emphysema again noted . Patchy opacity in the right lung base is new and concerning for pneumonia . No pleural effusion or pneumothorax is identified . There are no acute osseous abnormalities .
    OUTPUT:
    
Patchy opacity in the right lung base concerning for pneumonia . Mild upper lobe predominant centrilobular emphysema .