Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is within normal limits . The mediastinal contours show no widening and demonstrate calcified atherosclerotic disease at the aortic knob . The lungs are hyperinflated and demonstrate ill - defined airspace opacities affecting the left upper lung and probably the right lung base as well ; areas of lucency in the right upper lung represent underlying emphysema . There is no large pleural effusion or pneumothorax . Minimal scoliosis is present in the thoracic spine .
    OUTPUT:
    
Left upper and possible right lower lung airspace opacities in the setting of emphysema , concerning for pneumonia . Recommend follow - up to resolution .