Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Similar appearing hyperinflated lungs with flattened diaphragms representing COPD - related changes . Emphysematous changes in the bilateral apices again noted . Cardiac , mediastinal and hilar contours are stable , with similar - appearing clips in the right hilum and atherosclerotic calcification of the aorta . Heterogeneous opacity in the right lower lobe likely represents area of chronic fibrosis or atelectasis . No pleural effusion . No pneumothorax . Limited assessment of the bones is unremarkable .
    OUTPUT:
    
1 . Chronic changes related to COPD including hyperinflation , flattening of the diaphragms and emphysema in the lung apices . 2 . Heterogeneous opacity in the right lower lobe likely represents fibrosis or atelectasis . No definite lobar pneumonia . Results were conveyed via telephone by Dr . ___ to Dr . ___ at 9 :05 a .m . on ___ , within 10 minutes of observation of the findings .