Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Many of the numerous small irregular pulmonary opacities are chronic , but since ___ there is a new abnormality in the lingula including a ring shaped abnormality on the frontal view , at the level of the fifth anterior interspace and more extensive retrosternal opacity on the lateral view . There is no pulmonary edema . There is no pulmonary effusion . The cardiomediastinal silhouette and hila are unremarkable .
    OUTPUT:
    
New pneumonia or exacerbation of chronic ___ infection in the lingula . Other stable , multi - focal pulmonary abnormalities consistent with ___ . If there is no symptomatic improvement , or clinical concern persists after symptomatic improvement , a chest CT would provide a more reliable comparison with prior imaging .