Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lung volumes are low , accentuating cardiac silhouette and bronchovascular structures . With this limitation in mind , heart size is normal . Upper lobe predominant bullous emphysema is again demonstrated with adjacent areas of parenchymal scarring . A patchy area of opacity in the right infrahilar region is new , but lungs otherwise appear similar to the prior study . Small - to - moderate hiatal hernia is again demonstrated . There are no pleural effusions . Bones are diffusely demineralized .
    OUTPUT:
    
New patchy right juxtahilar opacity , which could reflect an early or resolving focus of pneumonia . Followup radiographs in four weeks may be helpful to document complete resolution as entered in radiology communications dashboard on ___ .