Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is extensive interstitial fibrosis of the lungs and emphysema . Compared to the prior CT , the right lung is now more severely likely due to pneumonia , marked aspiration or pulmonary hemorrhage . The cardiomediastinal silhouette and hilar contours are normal . There is no appreciable effusion or pneumothorax .
    OUTPUT:
    
Severe right pneumonia , aspiration or hemorrhage . Chronic pulmonary fibrosis . These findings were communicated to Dr . ___ by telephone ___ min after discovery by Dr . ___ .