Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: There is no pleural effusion , pneumothorax or focal airspace consolidation . Streaky atelectasis is seen at the lung bases . The left costophrenic angle is not fully imaged on the frontal view . Pleural thickening is seen in the right posterior sinus . The lungs are hyperinflated , consistent with chronic pulmonary disease . The mediastinal and hilar contours are unremarkable . The cardiac silhouette is mildly enlarged but unchanged . Pulmonary vascularity is normal . A 1 .1 cm hyperdensity projecting over the right lung is redemonstration of the known scapular bone island as seen on the prior CT .
    OUTPUT:
    
Evidence of chronic lung disease without an acute cardiopulmonary process .