Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bilateral hyperinflated lungs again noted consistent with patient 's history of COPD . No focal consolidation . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unchanged . Calcified aneurysm of the posterior left ventricle again noted . Stable cardiomegaly . Bibasilar reticular opacities are stable .
    OUTPUT:
    
No significant interval change since ___ . No evidence of new opacities or new lesions