Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs remain hyperinflated . Bibasilar atelectasis / scarring is again seen . No definite new focal consolidation . Biapical pleural thickening is seen . No large pleural effusion or pneumothorax . The cardiac and mediastinal silhouettes are stable . Brachytherapy clip is again seen projecting over the left lower hemi thorax .
    OUTPUT:
    
Re - demonstrated COPD and bibasilar atelectasis / scarring . No acute cardiopulmonary process .