Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated . The heart size is normal . The thoracic aorta is diffusely calcified but not dilated . New ill - defined opacity within the left upper lung field is concerning for pneumonia . Minimal linear and patchy opacity in the right lung base may reflect scarring . There is no pulmonary vascular congestion or pleural effusion . No pneumothorax is seen . There are multilevel degenerative changes in the thoracic spine with S - shaped scoliosis of the thoracolumbar spine . Partially imaged is cervical spinal fusion hardware .
    OUTPUT:
    
Patchy opacity in the left upper lung field may reflect an area of pneumonia . Followup radiographs after treatment are recommended to ensure resolution of this finding .