Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with redemonstration of severe emphysema . There is a new focal opacification projecting over the right mid to upper lung , which may represent developing pneumonia , but assessment is limited due to patient rotation . Evaluation of the right hilum is also similarly limited though overall the cardiomediastinal and hilar contours appear grossly unchanged . No pleural effusion present . Deformity of the left humeral head is likely related to prior trauma . Multiple stable thoracic compression deformities .
    OUTPUT:
    
1 ) Severe emphysema . 2 ) New focal opacification of right mid lung could represent pneumonia , though the patient is rotated on this exam . This could be reassessed with a repeat frontal radiograph . 3 ) Deformity of the left humeral head , likely due to remote trauma . 4 ) Multiple stable thoracic compression deformities .