Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . The lungs are hyperinflated . Several calcified granulomas are noted in the left hemithorax , unchanged since prior study . Heart size is top normal . There is severe scoliosis . Multiple right - sided old rib fractures are again seen .
    OUTPUT:
    
Hyperinflated lungs . Otherwise , compared to prior study , there has been no significant change .