Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Single AP upright portable view of the chest was obtained . The right - sided PICC is again seen terminating in the distal SVC . The lungs are hyperinflated consistent with COPD / emphysema . There is interval mild increase in opacity at the right lung apex ; an underlying infectious process may be present . Recommend followup to resolution in this patient with emphysema . There is also linear scarring / atelectasis at the left lung base in similar distribution to that seen on the prior study . The cardiac and mediastinal silhouettes are stable . Metallic hardware is partially imaged along the spine .
    OUTPUT:
    
1 . COPD / pulmonary emphysema . Interval increase in opacity right upper lobe may be due to infection . Recommend followup to resolution in this patient with emphysema .