Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Portable frontal view of the chest . The lungs are hyperinflated . Bi-apical scarring is noted . There are small bilateral pleural effusions . There is no pneumothorax . The cardiac and mediastinal contours are stable .
    OUTPUT:
    
Bi-apical scarring and hyperinflated lungs consistent with chronic lung disease . Small bilateral pleural effusions . For further details please see the CTA chest performed ___ .