Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A small area of consolidation is new in right middle lobe . The rest of the exam is unchanged with multiple scarring opacity in right upper lobe with volume loss , mostly consistent with old tuberculosis infection . Mediastinal and cardiac contour are top normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Small area of consolidation is new in right middle lobe . It is impossible to differentiate between an acute infectious process or recurrence of COP . Dr . ___has been verbally contacted for the results .