Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac size is top - normal . The aorta is tortuous . Right lower lobe consolidation in is new . Bilateral effusions are small . The lungs are otherwise hyperinflated suggesting COPD . There is no pneumothorax . There are mild degenerative changes in the thoracic spine . Calcifications in the left mid lung are again noted . Faint Ill - defined left upper lobe rounded opacities that could be part of the infection need follow - up to exclude lung nodules .
    OUTPUT:
    
Right lower lobe pneumonia and left upper lobe lung nodules followup is recommended to assess for resolution .