Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: As compared to ___ , there is severe hyperinflation of the lungs with small bilateral pleural effusions . No acute focal consolidation . The cardiomediastinal silhouette is not enlarged . No pneumothorax . Right - sided PICC remains in the upper SVC .
    OUTPUT:
    
No interval change , severe COPD and small bilateral pleural effusions .