Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . Again seen are extensive fibrotic changes particularly at the lung apices with superior retraction of the hila and bilateral pleural plaques . There is a superimposed new region of consolidation at the right lower lobe laterally worrisome for superimposed acute process . No other new consolidation is identified . Cardiomediastinal silhouette is unchanged in no acute osseous abnormality identified .
    OUTPUT:
    
Chronic parenchymal changes and pleural plaques with new right basilar opacity worrisome for superimposed acute process , compatible with pneumonia in the proper clinical setting .