Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest . Multiple scattered nodular and patchy opacities have increased since the prior exam , possibly representing enlarging pulmonary nodules or infection . Right medial lung base opacity is most consistent with infection . Blunting of the left costophrenic angle could represent pleural thickening or a small pleural effusion . Heart size and cardiomediastinal contours are normal . Thoracic spinal fusion hardware is in stable position with pedicle screws and laminar hooks . Severe compression deformity of a mid-thoracic spine vertebral body is similar to prior .
    OUTPUT:
    
Increase in size and number of multiple scattered and patchy opacities , as well as new medial right lung base opacity , consistent enlarging pulmonary nodules and concern for underlying infection .