Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There has been no significant interval change since prior exam with significant hyperinflation of the lungs compatible with chronic pulmonary disease . No focal consolidations identified . The cardiomediastinal silhouette and hilar contours are unchanged . There is no pleural effusion or pneumothorax . Visualized upper abdomen is unremarkable . Unchanged right scapular deformity as well as severe kyphosis of the thoracic spine .
    OUTPUT:
    
No focal consolidation . Severe hyperinflation compatible with chronic lung disease .