Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs remain hyperinflated with flattening of the diaphragm suggestive of chronic obstructive pulmonary disease . Coarsened interstitial markings bilaterally are stable consistent with chronic lung disease , with likely emphysema . Biapical pleural thickening is again seen . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable and unremarkable .
    OUTPUT:
    
No significant interval change . No focal consolidation to suggest pneumonia radiographically .