Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , likely reflective of chronic pulmonary disease . There is a peripheral opacity along the in the left midlung , unchanged from prior exam . This is better delineated on the recent chest CT and is likely reflective of prior postsurgical changes . There is no new focal consolidation , pleural effusion or pneumothorax . The heart is normal in size . The mediastinal contours are normal .
    OUTPUT:
    
No acute cardiopulmonary process .