Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , suggesting chronic obstructive pulmonary disease . Biapical pleural thickening is re - demonstrated . There are increased bilateral lower lung opacities worrisome for pneumonia . A more focal opacity in the right mid lung was also present on the prior study . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . A right Port - A - Cath terminates in the distal SVC without evidence of pneumothorax .
    OUTPUT:
    
Increased right mid to lower lung and left lower lung opacities worrisome for infection superimposed on chronic changes .