Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac silhouette size is normal . The aorta is tortuous with minimal atherosclerotic calcifications . An ill - defined focal opacity is noted projecting over the right hilum , new in the interval , which appears to be localized anteriorly within the right upper lobe on the lateral view . Pulmonary vasculature is normal . The lungs are hyperinflated with attenuation of the pulmonary markings towards the upper lobes suggestive of underlying emphysema . No pleural effusion or pneumothorax is identified . Multilevel degenerative changes are noted in the thoracic spine . There are no acute osseous abnormalities .
    OUTPUT:
    
New focal opacity projecting over the right hilum , likely within the anterior aspect of the right upper lobe potentially due to pneumonia , but further assessment with contrast - enhanced CT is suggested to exclude a more central or right hilar mass .