Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Heart size and mediastinal contour are normal . There is left hilar fullness . Blunting of the left costophrenic angle , is scarring or a small pleural effusion . Mild diffuse interstitial abnormality in both lungs and hyperinflation suggest chronic lung disease due to smoking . A large area of heterogenous radiodensity in the axillary region of the right upper lobe has a mass - like configuration on the lateral view . There is a similar but smaller area in the left upper lobe laterally . Small nodules are present in the lower lungs , particularly the right .
    OUTPUT:
    
1 . Two areas of increased radiodensity , one in the right upper lobe and one in the left upper lobe , which in the correct clinical setting may represent pneumonia . 2 . Possible left hilar lymphadenopathy . 3 . Possible emphysema and mild interstitial lung abnormality , probably due to smoking . 4 . Possible small right lung nodules . 5 . Chest CT with intravenous contrast is recommended to assess all these findings , either now or within several weeks after presumed pneumonia has been treated . These findings were discussed with Dr . ___ by Dr . ___ ___ telephone at 2 : 58 PM , 15 minutes after the time of discovery .