Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A new right lower lobe predominantly parenchymal opacity reflects pneumonia . There are extensive right upper lobe parenchymal changes as well with diffuse reticular nodular opacities noted in the right upper lobe as well as the right lower lobe . By comparison , the left lung is essentially clear . While there were paraseptal emphysematous changes on the ___ CT of the chest , the changes in the right lung today appear to represent chronic but worsening interstitial process with superimposed pneumonia . The heart size is normal . There is no pleural effusion or pneumothorax . An old right clavicular fracture is seen .
    OUTPUT:
    
Right lower lobe consolidation compatible with pneumonia superimposed on diffuse right lung reticular nodular opacities are worrisome for an overall worsening chronic interstitial process . These changes are beyond just simple " asthma " and if the patient does not have a pulmonologist , consultation with one as an outpatient is probably appropriate as well high resolution CT of the chest .