Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflation of the lungs is unchanged since ___ . A focal area of bronchial wall thickening or consolidation with air bronchograms in the left upper lobe is new since ___ . There is no pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette , hila , and pleura are normal .
    OUTPUT:
    
1 . Left upper lobe and focal bronchopneumonia . A follow - up CT chest could be performed for further evaluation if symptoms do not improve with appropriate antibiotic coverage . 2 . Stable lung hyperexpansion , consistent with chronic pulmonary disease .