Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Known right perihilar spiculated nodules are better seen on prior CT , suspicious for malignancy . Since recent exam , there has been development of left basilar opacity . Remaining portions of the lungs are clear . The cardiomediastinal silhouette is stable . S - shaped thoracolumbar scoliosis is again seen .
    OUTPUT:
    
Interval development of left basilar opacity compatible with pneumonia on the background of emphysema . Known spiculated right lung nodules better seen on prior CT scan .