Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is increased opacification within the lower lobes bilaterally , consistent with multifocal aspiration pneumonia . The lungs are hyperinflated , consistent with COPD . The pulmonary vasculature is normal . There is stable enlargement of the cardiac silhouette . The descending aorta is tortuous , but unchanged . No pleural effusion or pneumothorax is seen . Chronic right - sided rib fractures are re - demonstrated .
    OUTPUT:
    
1 . Increased opacification with the lower lobes bilaterally , consistent with multifocal aspiration pneumonia . 2 . Hyperinflation consistent with COPD . 3 . Multiple chronic right - sided rib fractures .