Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lungs are hyperinflated with lower lung streaky reticular opacities again noted , likely chronic and representing the sequelae of aspiration or atypical infection . However , there is subtle increase in streaky opacity in the right lung base as compared with recent prior chest radiograph suggesting an acute pneumonic component . Also noted , is a small right pleural effusion . No pneumothorax . Cardiomediastinal silhouette appears normal . Bony structures are intact . No free air below the right hemidiaphragm .
    OUTPUT:
    
Hyperinflated lungs with streaky opacities in the lower lungs slightly increased on the right concerning for acute on chronic infection . Tiny right pleural effusion .