Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral images of the chest demonstrate well - expanded lungs with some hyperinflation that would be consistent with COPD . These changes are similar to those seen on previous exam . The patient has also had intermittent small pulmonary opacities over the last several years , consistent with COPD . Previously seen right basilar infiltrate has resolved . There is no evidence of acute parenchymal process or infection on this exam . There is no pneumothorax . There is no pleural effusion . Cardiomediastinal silhouette is unremarkable . Visualized osseous structures are unremarkable .
    OUTPUT:
    
Chronic pulmonary changes consistent with chronic obstructive pulmonary disease . No evidence of acute pulmonary process . These findings were communicated to Dr . ___ ___ by phone at 3 :30 p .m .