Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , with flattening of the diaphragms and lucency at the lung apices consistent with chronic obstructive pulmonary disease , pulmonary emphysema . No definite focal consolidation is seen . The cardiac silhouette is top - normal . The aorta is calcified . There may be minimal pulmonary vascular congestion . Remote right - sided rib fractures are re - demonstrated .
    OUTPUT:
    
Severe pulmonary emphysema / COPD . Equivocal minimal pulmonary vascular congestion .