Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . Hyperinflation of bilateral lungs is again seen , consistent with COPD . No new focal consolidations , pleural effusions or soft tissue changes are noted since the prior exam . No pneumothorax is seen . Bilateral apical opacities likely representing scarring remain unchanged . The cardiomediastinal silhouette is unremarkable . If evaluation for fracture is indicated , recommend detailed views of the area of focal physical exam findings .
    OUTPUT:
    
No pneumonia , effusions , pneumothorax or soft tissue abnormality . Unchanged bilateral apical scarring and COPD . The above findings were communicated to ___ by Dr . ___ ___ telephone at 11 : 10 , 5 minutes after discovery was made .