Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes have decreased since the previous study . Multiple bullae in the upper lobes and increased interstitial markings in the lower lobes reflect emphysema . Increased opacity in the mid right lung , suggesting consolidation in the anterior segment of the right upper lobe or superior segment of the lower , could be pneumonia , but is not clearly corroborated on the lateral view . Heart is normal size and cardiomediastinal contours are unremarkable . No pleural abnormality is present .
    OUTPUT:
    
Chronic emphysema . Suggest oblique radiographs to evaluate possible right pneumonia . Note : Dr . ___ ___ the findings with Dr . ___ by telephone at 11 :45 am on ___ .