Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral chest radiographs . The lungs are hyperinflated . Bibasilar interstitial opacities are similar to ___ , probably chronic , improved , compared ___ when the patient was in mild pulmonary edema , but there is new cephalization of blood flow indicating early cardiac decompensation . The costophrenic angles are now sharper . There are no new abnormal cardiac cardiomediastinal contours . There is no pneumothorax or focal consolidation
    OUTPUT:
    
Probable COPD . Early CHF , but no edema .