Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Dual lead left - sided pacemaker stable in position . The lungs remain hyperinflated , consistent with chronic obstructive pulmonary disease . No focal consolidation is seen . Mild biapical pleural thickening is seen . No pleural effusion or pneumothorax is seen . The cardiac and mediastinal silhouettes are unremarkable . Anchor screw noted overlying the right humeral head .
    OUTPUT:
    
COPD . No definite focal consolidation .