Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The inspiratory lung volumes are appropriate . There is no focal consolidation . Mild generalized bronchial cuffing is chronic . The left costophrenic angle is blunted , as it has been on several prior studies , suggesting a very small pleural effusion . The pulmonary vasculature is not engorged . The cardiac silhouette is normal in size . The mediastinal and hilar contours are otherwise within normal limits and unchanged . Marked tortuosity of the descending thoracic aorta is noted . The trachea is midline . There is no evidence of free air beneath the right hemidiaphragm .
    OUTPUT:
    
No focal consolidation concerning for pneumonia . Bronchial cuffing , absent signs of heart failure suggests chronic bronchial inflammation .