Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The patient is somewhat rotated to the left . The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . Increased interstitial markings bilaterally suggest pulmonary edema , underlying pulmonary contusion not excluded in the setting of trauma . No large pleural effusion or pneumothorax is seen . Cardiac and mediastinal silhouettes are stable with prominence of the main pulmonary artery . Difficult to exclude rib fracture on this study . If there is high clinical concern , chest CT is more sensitive .
    OUTPUT:
    
Increased interstitial markings bilaterally suggest pulmonary edema , underlying pulmonary contusion not excluded in the setting of trauma . Difficult to exclude rib fracture on this study . If there is high clinical concern , chest CT is more sensitive .