Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperextended consistent with known COPD . There is no focal consolidation , pleural effusion or pneumothorax . The right basilar opacity is improved from ___ . A mediastinal fiducial clip is unchanged in position . Mild enlargement of the cardiac silhouette is unchanged . Mediastinal silhouette and hilar contours are stable .
    OUTPUT:
    
No pneumonia or effusion . Findings discussed with Dr . ___ by phone at 1 :50 p .m . , ___ .