Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperexpanded reflecting underlying COPD . Small right and moderate possibly loculated left pleural effusions are stable . Multilevel displaced left lateral rib fractures are unchanged . Right mid lung pulmonary nodule again noted . Small right and possible tiny left apical pneumothoraces are unchanged .
    OUTPUT:
    
1 . Small right and possible tiny left apical pneumothoraces . 2 . Small right and moderate possibly loculated left pleural effusions .