Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with flattening of the diaphragm , compatible with COPD . There is prominence of interstitial lung markings as well as airspace opacities , compatible with mild pulmonary edema . No focal consolidation is identified . There is no pneumothorax . There is a small left pleural effusion . The cardiomediastinal silhouette and hilar contours are stable since prior exam .
    OUTPUT:
    
1 . Hyperinflated lungs with flattening of the diaphragm , compatible with patient history of COPD . 2 . Pulmonary predominately interstitial edema with small left pleural effusion . Left lower lobe infectious process can not be excluded . Assessment after diuresis is recommended with repeated chest radiograph .