Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is a new right lower lobe streaky opacity best appreciated on frontal radiograph . Again seen is hyperexpansion of the lungs with flattening of the diaphragm consistent with emphysematous changes . Bilateral interstitial opacities at the lung bases as well as right middle lobe opacity are unchanged and consistent with fibrosis and bronchiectasis as seen on prior CT scan from ___ . Heart size , mediastinal contour , and hila are unremarkable . No pleural effusion or pneumothorax .
    OUTPUT:
    
1 . New right lower lobe streaky opacity is worrisome for pneumonia , or aspiration pneumonia in the appropriate clinical setting . 2 . Hyperinflated lungs consistent with emphysematous changes 3 . Fibrosis and bronchiectasis of the lung bases and right middle lobe , unchanged from ___ .