Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are again noted to be hyperinflated with flattening of the diaphragms . Persistent left lower lobe opacity with interval progression of right lower lobe opacity . Again seen are calcifications along the left chest wall which are unchanged prior examination can consistent with calcified plaques . Scarring within the left costophrenic angle is again noted . Possible calcified plaques along the right lateral lung are similar to prior examination . No pneumothorax . Heart size , mediastinal contour , and hila are unremarkable . The aorta is calcified consistent with atherosclerosis .
    OUTPUT:
    
1 . Unchanged left lower lobe opacity with progression of right lower lobe opacity consistent with evolving multifocal pneumonia . 2 . Findings suggestive of emphysema or COPD . 3 . Calcified pleural plaques . 4 . No pulmonary edema .