Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are provided . Lung volumes are increased . There is increased AP diameter of the chest wall , consistent with COPD . Right lung base opacity , predominantly right middle lobe , is new since prior . Hilar and mediastinal silhouettes are unchanged . Aortic arch calcifications are noted . Heart size is top normal . Mild pulmonary vascular congestion is noted . Remote right lower rib fractures are noted . Bones are diffusely demineralized .
    OUTPUT:
    
Right middle lobe consolidation worrisome for pneumonia , new since ___ exam . Mild pulmonary vascular congestion .