Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , suggesting chronic obstructive pulmonary disease . There is bibasilar atelectasis . No definite new focal consolidation is seen . Central pulmonary vascular engorgement persists , similar compared to prior . No large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . Chronic deformity at the proximal left humerus again seen .
    OUTPUT:
    
No significant interval change . COPD with bibasilar atelectasis . Central pulmonary vascular engorgement persists .