Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There are increasing patchy opacities and volume loss in the right lower lobe . Chronic coarsening of the reticular opacities and mild hyperinflation related to chronic pulmonary disease . The cardiac silhouette is enlarged . There is unfolding and prominence on ascending thoracic aorta . No pneumothorax or pleural effusions . A minimally displaced posterior 6th rib fracture is seen .
    OUTPUT:
    
Increasing opacity and volume loss of the right lower lobe . This likely represents worsening atelectasis , however superimposed aspiration or pneumonia can be considered in the appropriate clinical setting .