Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded , and there is a paucity of vasculature superiorly , consistent with known severe COPD . Multifocal patchy interstitial opacities are seen predominantly at the mid lungs and lung bases . Given the presence of a normal heart size and the absence of central venous vascular congestion , this is most consistent with multifocal pneumonia , perhaps aspiration . There is no strong evidence for pulmonary edema . The known right upper lobe spiculated mass is not well appreciated on this study . Cardiac and mediastinal silhouettes are stable . No pleural effusion or pneumothorax is seen .
    OUTPUT:
    
Multifocal patchy interstitial opacities are seen predominantly at the mid lungs and lung bases . Given the presence of a normal heart size and the absence of central venous vascular congestion , this is most consistent with multifocal pneumonia , perhaps aspiration . Recommend follow - up to resolution . Known right upper lobe spiculated mass not well appreciated on this study . COPD . These findings were discussed with Dr . ___ at 1 :01 p .m . on ___ by telephone at the time of discovery .