Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased AP diameter of the chest with flattened hemidiaphragms suggest COPD , unchanged from prior . Bronchiectasis and peribronchial opacities have progressed in the left lower lobe and may reflect aspiration or inflammation . No confluent consolidation is identified . There is no pulmonary edema or pleural effusion . Cardiomediastinal and hilar contours are within normal limits .
    OUTPUT:
    
Hyperexpanded lungs with increased left lower lobe peribronchial opacities , possible interval aspiration .