Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperinflation compatible with COPD . There is mild right lower lobe bronchiectasis with very mild bronchial thickening . There is no consolidation . No pneumothorax or pleural effusion . Consolidated rib fracture of the anterior portion of the left second rib . Left apical 4 - mm granuloma is benign . Mediastinal and cardiac contour are within normal limits .
    OUTPUT:
    
Hyperinflation , compatible with COPD . There is also right lower lobe bronchiectasis with mild bronchial thickening .