Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with flattening of the diaphragms suggesting COPD . A geographic area lucency in the right lateral lung base may represent area of air trapping . Streaky opacities projecting over the spine on the lateral view are concerning for infection . There is no pleural effusion or pneumothorax . The pulmonary vasculature is not engorged . The cardiomediastinal and hilar contours are within normal limits . Anterior wedging of vertebral bodies at the thoracolumbar junction are age indeterminate .
    OUTPUT:
    
Lower lobe opacity concerning for infection . Evidence of COPD .