Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were reviewed and compared to the prior study . New focal opacity in the anterior segment of the left upper lobe and the left lower lobe as well as tiny bilateral pleural effusions are concerning for pneumonia . The heart and mediastinal surfaces are normal . No evidence of pneumothorax . Hyperinflated lungs and flattened hemidiaphragms are consistent with chronic obstructive pulmonary disease .
    OUTPUT:
    
1 . Left upper and lower lobe pneumonia . 2 . Hyperinflated lungs and flattened diaphragms consistent with chronic obstructive pulmonary disease .