Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 5 .3 cm above the carina . An orograstric tube terminates within the stomach . Again seen is hyperexpansion of the lungs , compatible with known COPD . Bibasilar consolidations have improved since ___ , . There is no pneumothorax , focal consolidation , or pleural effusion .
    OUTPUT:
    
Improved bibasilar pneumonia . Severe emphysema .