Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic emphysematous lung changes are again present . On today 's exam , there are increased opacities around the right hila which on the lateral view project over the anterior portion of the heart , localizing to the right middle lobe . There are also opacities near the right costophrenic angle , likely related to scarring which are stable since ___ . There is no pulmonary edema , pleural effusion or pneumothorax .
    OUTPUT:
    
Right middle lobe pneumonia . Recommend repeat radiographs after treatment to ensure resolution especially given the patient 's emphysematous changes .