Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperinflated with flattening of the diaphragms , again as on the prior study , suggesting chronic obstructive pulmonary disease . Right upper lobe and right suprahilar scarring are grossly stable . Again seen is right greater than left biapical pleural thickening . The cardiac and mediastinal silhouettes are stable . No new focal consolidation is seen . There is no pleural effusion or pneumothorax . Degenerative changes are seen along the spine .
    OUTPUT:
    
Grossly stable right upper and suprahilar scarring / fibrotic changes . No new findings .