Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . Increased interstitial markings bilaterally is similar in extent as compared to the prior study , likely due to chronic lung disease . No definite acute focal consolidation is seen . No large pleural effusion or pneumothorax is seen . The cardiac silhouette is top - normal to mildly enlarged . The aorta is calcified .
    OUTPUT:
    
Increased interstitial markings as also seen on the prior study , likely due to chronic lung disease . No definite acute cardiopulmonary process .