Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , suggesting chronic obstructive pulmonary disease . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Patient is status post TAVR , stable in position . Dual lead left - sided pacemaker is stable in position . .
    OUTPUT:
    
No focal consolidation to suggest pneumonia .