Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single semi-upright portable AP view of the chest was obtained . The lungs remain hyperinflated , with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . Patchy right basilar , possibly right middle lobe opacity is seen , raising concern for underlying pneumonia possibly due to infection or aspiration . No large pleural effusion or pneumothorax is seen . The cardiac silhouette is not enlarged . Mediastinal contours are stable and unremarkable . Previously seen right - sided PICC is no longer seen .
    OUTPUT:
    
Patchy medial right basilar opacity , possibly right middle lobe raising concern for infection or possibly aspiration . Recommend followup to resolution . COPD .