Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal contours are normal . The lungs are hyperinflated , patient has known emphysema . Ill - defined peribronchial opacities in the lower lobes and in the left mid lung likely represent multifocal pneumonia . There is no pneumothorax or pleural effusion . The osseous structures are unremarkable
    OUTPUT:
    
Emphysema Findings are consistent with multifocal pneumonia given the clinical history