Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are hyperinflated with coarse increased interstitial markings compatible with chronic underlying lung disease . There is new focal consolidation in the right upper lung , not seen on previous exam on the frontal view . There is trace blunting of the posterior costophrenic angles which may be small residual pleural effusions , improved from prior . The cardiomediastinal silhouette is unchanged . No acute osseous abnormality is detected .
    OUTPUT:
    
Hyperinflation with chronic underlying lung disease . Possible trace residual pleural effusions . Rounded opacity projecting over the right upper lung , potentially focal region of infection . Given patient 's degree of underlying parenchymal disease , however , followup is suggested to document resolution of this finding to exclude underlying mass lesion .