Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated with flattened diagrams consistent emphysema . Changing pattern of focal opacities in the right middle lobe with multiple heterogeneous focal opacities new since ___ . Bronchiectasis in the apices and bilateral lower lungs appears unchanged . The mediastinal contours , hila , and heart borders are normal . No large pleural effusion .
    OUTPUT:
    
1 . Multiple focal opacities in the right lung are new since ___ suggestive of acute on chronic infection . 2 . Emphysema .