Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest are compared to chest CT from ___ and chest xray from ___ . The lungs are hyperinflated . Relative paucity of vascular markings at the left lung apex is compatible with extensive emphysematous change identified on prior CT from ___ . Increased interstitial markings are seen in the mid lungs and the left base are unchanged from prior and potentially due to chronic changes . There is no new confluent consolidation . Enlarged pulmonary hila and cardiac silhouette are again seen but stable . Osseous and soft tissue structures are unremarkable .
    OUTPUT:
    
No definite acute cardiopulmonary process . Chronic lung changes without definite consolidation .