Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , with multiple areas of hyperlucency and scarring in the left lung base . No focal consolidation . Chronic pleural thickening with blunting of the left costophrenic angle . No pneumothorax . Heart size is borderline enlarged . Prosthetic aortic valve and median sternotomy wires . The stomach is newly distended , with internal air - fluid level , and closely abuts the anterior left hemidiaphragm . Mild acromioclavicular arthropathy .
    OUTPUT:
    
1 . Chronic obstructive airways disease , without acute process . 2 . Distended stomach .