Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is mild cardiomegaly . Multiple surgical clips project over the left mediastinum . HYPERINFLATION IS DUE TO SEVERE EMPHYSEMA . DIFFUSE reticular opacities , present on prior outside CT ARE felt to reflect chronic interstitial lung changes AND , INCLUDING PULMONARY FIBROSIS , BRONCHIECTASIS , AND INFLAMMATORY EMPHYSEMA . There is a however a focal area of increased nodular opacities IN THE RIGHT LOWER LOBE which corresponds to tree in ___ nodularities on prior outside CT . In the appropriate clinical setting , these findings could reflect an acute infectious process . Blunting of the left costophrenic angle is likely secondary to a small amount of pleural fluid . There is no pneumothorax .
    OUTPUT:
    
1 . SMALL REGION OF POSSIBLE PNEUMONIA OR BRONCHIOLITIS , RIGHT LOWER LOBE , BEST APPRECIATED ON OUTSIDE CT PERFORMED ___ . 2 . SEVERE EMPHYSEMA , PULMONARY FIBROSIS , AND BRONCHIECTASIS .