Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs continue to appear hyperinflated with somewhat flattened hemidiaphragms consistent with patient 's known history of chronic obstructive pulmonary disease . There are increased right upper lobe opacities . Otherwise , the lungs are without any other focal consolidations , effusions , or pneumothoraces . Cardiomediastinal silhouette remains normal . Osseous structures are grossly normal .
    OUTPUT:
    
1 . Increased right upper lobe opacities may be representative of right upper lobe pneumonia . Followup radiograph in 6 weeks is recommended to assess for interval change . 2 . Hyperexpanded lungs consistent with patient 's previously seen chronic obstructive pulmonary disease . These findings were discussed by Dr . ___ with Dr . ___ ___ telephone at 15 :05 on ___ .