Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The left costophrenic sulcus is incompletely imaged . There is no change from ___ . The lungs are overinflated without focal consolidation , pleural effusion , or pneumothorax . Fibrotic changes at the apices are noted . Bronchial wall thickening at the bases suggest chronic airways disease . Heart size is normal . Mediastinal silhouette and hilar contours are normal . There is no pulmonary edema . Known left rib fractures are not appreciated on this study .
    OUTPUT:
    
No pneumonia , edema , or effusion .