Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There lungs are hyperinflated consistent with COPD . There is mild to moderate cardiomegaly . The aortais calcified and slightly unfolded . Possible mild prominence of hila raising quesiton of pulmonary arterial hypertension . Slight upper zone redistribution , but no overt CHF . Increased opacities at the right lung base are seen . Streaky opacities at the left lung base are also seen , but are s omewhat more likely secondary to atelectasis . There is a probable small right pleural effusion . There is no large pneumothorax . Suspect old healed fxs of the left ___ and 8th ribs . Degenerative changes noted in the cervical and thoracic spine .
    OUTPUT:
    
1 ) COPD . 2 ) Mild to moderate cardiomegally . 3 ) Increased opacity at the right lung base is concerning for pneumonia . Changes at the left base could be due to atelectasis , but could also represent an early pneumonic infiltrate . Probable small right effusion .