Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette and hilar contours are normal . Lungs are extremely hyperinflated compatible with diagnosis of COPD . There is widespread bronchial wall thickening with subtle increased peribronchial opacities , particularly in the right lower lung , increased from prior study , worrisome for infection . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Subtle increased peribronchial opacities in the right lower lung , worrisome for infection . Results were discussed over the telephone with Dr . ___ by ___ ___ at 4 : 16 p .m . on ___ at time of initial review .