Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . Focal apparent eventration of a posterior diaphragm is grossly similar as compared to the prior study and similar as compared to ___ . Anterior costochondral calcifications are seen projecting over the lung bases . Bibasilar scarring noted . No focal consolidation , pleural effusion , evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Aortic calcifications are seen .
    OUTPUT:
    
No significant interval change .