Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and hyperlucent with flattening of the hemidiaphragms , consistent with chronic pulmonary disease , similar to ___ . Subtle increased opacity in the left lower lobe since ___ on the frontal view may reflect atelectasis as no corresponding opacity is appreciated on the lateral projection . Mild elevation of the left hemidiaphragm is unchanged since at least ___ . No pleural effusion or pneumothorax . Biapical , left greater than right pleural thickening is also unchanged . The right lung is clear . No mediastinal widening . Tortuosity of the descending thoracic aorta is unchanged . Mild dextroconvex scoliosis of the upper thoracic spine is also unchanged . Slight loss of anterior vertebral body height in a mid thoracic vertebral body is probably similar to the prior exam in ___ .
    OUTPUT:
    
1 . Left lower lobe atelectasis ; no definite focal pneumonia . 2 . Findings consistent with chronic pulmonary disease , similar to ___ . 3 . Mild loss of anterior vertebral body height in a mid thoracic vertebral body appears similar to ___ .