Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is slightly rotated . The lungs are hyperinflated with severe emphysema . No pleural effusion or pneumothorax . Parenchymal opacities corresponding to significant volume loss in the right lung , predominantly in the right upper lobe as appreciated on prior CT with right shift of the mediastinum and elevation of the right hemidiaphragm with tenting , overall unchanged . Concurrent infection can not be excluded . Lucencies projecting over the right apex is consistent with apical bulla are best appreciated on prior CT . There is also emphysema in the left apex . No pneumothorax . Right lung parenchymal opacities have progressed concerning for new infection . Left lower lung opacities are subtle but appears slightly worse from ___ , also concerning for infection . Cardiomegaly is unchanged . No pleural effusion .
    OUTPUT:
    
1 . No pneumothorax . 2 . Since the radiograph on ___ , there is increased right lung and left lower lung parenchymal opacity concerning for multifocal pneumonia . 3 . Persistent right upper lobe atelectasis / consolidation apical bulla . Concurrent superinfection is possible .