Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Right PICC terminates in mid SVC . Lungs are hyperinflated . Fiducial marker is noted in the right upper lung with associated right upper lung volume loss . Increased interstitial markings at the left lower lung is unchanged and likely related to emphysema . Cardiomediastinal silhouette is normal size . There is no pneumothorax or pleural effusion . Multiple old healed fractures are in bilateral ribs .
    OUTPUT:
    
No notable interval change . No evidence of pulmonary edema . Chronic pulmonary emphysema .