Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The right IJ line terminates in the right atrium . The heart is moderately enlarged . The mediastinal silhouette is unchanged . The diffuse bilateral parenchymal reticular opacities are consistent with patient 's background fibrosis and severe emphysema . Rounded lucencies in the right upper lung consistent with chronic bullous emphysematous changes better evaluated on chest CT from ___ . Lobe opacity in the right middle lung as seen on the prior study from ___ is consistent with 80 pneumonia . There is no pulmonary edema , pleural effusion , or pneumothorax .
    OUTPUT:
    
Right mid lung opacity consistent with a pneumonia in the setting of underlying pulmonary fibrosis and severe emphysema .