Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . There is lower lobe consolidation with suggestion of small left pleural effusion , worrisome for pneumonia . No pneumothorax is seen . The cardiac and mediastinal silhouettes are stable .
    OUTPUT:
    
Left lower lobe consolidation worrisome for pneumonia with possible small left pleural effusion .