Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: One portable AP upright two view of the chest . Hyperinflation is consistent with COPD , likely emphysema . Previously seen small bilateral pleural effusions have significantly decreased . The heart size is top normal . The mediastinal contours are unchanged . There are aortic calcifications . There are right upper , left upper , and right lower lobe consolidations , similar to prior study .
    OUTPUT:
    
1 . Persistent multifocal opacities representing pneumonia . 2 . Mild interstitial edema . 3 . Decrease in small bilateral pleural effusions .