Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no focal consolidation to suggest pneumonia . Bibasilar atelectasis is noted . The lungs are hyperexpanded , suggesting underlying chronic obstructive lung disease . The heart is enlarged , with prominence of the left atrium , increased from ___ , and there is widening of the central vascular pedicle , with increased interstitial markings most compatible with congestive heart failure . There are likely small bilateral pleural effusions . There is no pneumothorax . The aortic knob is calcified , and the descending aorta is tortuous . Hilar contours are unremarkable . Degenerative changes are noted in the thoracic spine , with osteopenia limiting evaluation .
    OUTPUT:
    
Increased cardiomegaly with prominent interstitial markings compatible with mild congestive heart failure . Hyperexpansion of the lungs suggests underlying COPD .