Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart is mildly enlarged . The aorta is calcified and tortuous . There is patchy left mid to lower lung opacity . Blunting of the right costophrenic angle is seen . Bilateral paratracheal opacity in the upper mediastinum without indentation on the trachea may relate to prominent vasculature . The lungs are relatively hyperinflated . Relative lucency of the upper lungs is seen ; combination of findings suggest chronic obstructive pulmonary disease . Thoracic scoliosis is noted . Pigtail catheter is noted overlying the right upper quadrant .
    OUTPUT:
    
Patchy mid left lung opacity worrisome for pneumonia . Recommend followup to resolution to exclude an underlying pulmonary lesion . Blunting of the right costophrenic angle may be due to a trace pleural effusion or pleural thickening . Cardiomegaly . COPD .