Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits and without change . Lung volumes remain increased , and note is again made of a calcified granuloma in the left apex with adjacent apical pleural and parenchymal scarring . No new areas of consolidation are evident , and there are no pleural effusions .
    OUTPUT:
    
Hyperinflated lungs in keeping with COPD . No evidence of acute pneumonia .