Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , and there is scarring noted at the bilateral lung apices and bases . Streaky airspace opacities extending from the bilateral hila to the lung bases likely reflect atelectasis . There is no large pleural effusion or pneumothorax identified . No lobar consolidation . The heart is enlarged . The descending thoracic aorta is slightly ectatic . S - shaped scoliosis is centered within the mid thoracic spine .
    OUTPUT:
    
Hyperinflated lungs demonstrating chronic scarring and atelectasis . No appreciable lobar consolidation or pleural effusion . Persistent cardiomegaly .