Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Spiculated lesion in the right upper lobe with a fudicial marker is compatible with known malignancy . New ill - defined opacification is seen primarily involving the right upper lobe and superior segment of the right lower lobe , concerning for infection . Left lung is grossly clear . Hyperinflation of the lungs with attenuation of the pulmonary vascular markings towards the apices is compatible with emphysema . Elevation of the left hemidiaphragm is chronic . No pleural effusion or pneumothorax is seen , and there is no pulmonary vascular congestion . No acute osseous abnormalities present . Sclerotic focus within the left humeral head is partially imaged and is unchanged , possibly reflecting an enchondroma .
    OUTPUT:
    
New ill - defined opacification within the right upper and lower lobes concerning for pneumonia .