Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is mildly enlarged . The aorta remains tortuous . Hilar contours are unchanged . Focal consolidative opacity in the right upper lobewith associated elevation of the right minor fissure is relatively unchanged from the most recent prior radiograph , but slightly increased in size compared to the ___ chest CT . Pulmonary vasculature is not engorged . Lungs are hyperinflated suggesting COPD . New patchy opacity within the right lung base could reflect an area of infection . Left lung is clear . There is no pleural effusion or pneumothorax . Osseous structures are diffusely demineralized .
    OUTPUT:
    
1 . New patchy right basilar opacity concerning for pneumonia . 2 . Chronic right upper lobe focal area of consolidation , minimally changed from prior radiograph from ___ but slightly increased in size from chest CT from ___ , and potentially may reflect a low - grade adenocarcinoma . A dedicated chest CT is recommended for further assessment if clinically indicated .