Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with flattened diaphragms , consistent with COPD . This is unchanged from prior exam . At the right base , there is a new somewhat linear hazy opacity , with adjacent blunting of the right costophrenic angle suggestive of a small pleural effusion . There is no pulmonary edema , left pleural effusion , or pneumothorax . The cardiomediastinal silhouette is unchanged with the heart size normal . Mitral annular calcifications are again noted . Multiple compression fractures and severe kyphosis are noted , and not significantly changed from prior exam . The aorta is tortuous and calcified . Biapical scarring is redemonstrated .
    OUTPUT:
    
1 . New right basilar opacity concerning for pneumonia , with a small right pleural effusion . 2 . Stable hyperinflation suggestive of underlying COPD . 3 . Stable multiple thoracic vertebral body compression fractures .