Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a focal opacity adjacent to the right hilus . Lungs are hyperinflated compatible with COPD . The cardiac silhouette is normal . There is no pleural effusion or pneumothorax . Chronic anterior wedging of the T11 vertebral body is demonstrated on the lateral view . There are healed old rib fractures at the posterior left T10 and T11 ribs .
    OUTPUT:
    
Focal opacity adjacent to the right hilus which reflects probable right middle lobe or right lower lobe pneumonia . Follow - up imaging after treatment is recommended to ensure resolution .