Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The hilar and mediastinal contours are within normal limits . A moderately tortuous aorta is again seen . There is a left basilar surgical clip . Again seen are hyperinflated lungs with hyperlucency of the upper zones , compatible with known COPD . Bibasilar hazy opacities are minimally changed since ___ , overall worsened since ___ , likely representing recent atypical infection . The central pulmonary vessels are not engorged , less compatible with edema . No new consolidation , pneumothorax , or pleural effusion is seen .
    OUTPUT:
    
Persistent bibasilar opacities , minimally changed since ___ , but overall worse since ___ , most compatible with recent atpical infection .