Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Left - sided PICC line ends in upper SVC . Patient is known with hyperinflated lungs and oligemia in upper lobes consistent with emphysema . There are chronic bibasilar peribronchial opacities that are unchanged . There is no new focal consolidation , no pleural effusion or pneumothorax .
    OUTPUT:
    
1 . There is no new lung consolidation suspicious for infection . 2 . Chronic change related to COPD .