Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are markedly hyperinflated with significant elevation of the left hemidiaphragm similar , with overlying atelectasis . Streaky linear opacities in the mid and lower right lung are increased from the previous examination but their appearance is more suggestive of a chronic process . There is mild blunting of the posterior right costophrenic angle , which may be due to a small pleural effusion or pleural thickening . Cardiac silhouette and mediastinal contours are unchanged .
    OUTPUT:
    
Increased mid and lower right lung streaky opacities are more suggestive of a chronic pulmonary process . Comparison with any priors since ___ and continued follow - up . Mild blunting of the posterior right costophrenic angle , small pleural effusion vs pleural thickening .