Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , consistent with COPD . Some streaky bibasilar opacities , slightly worse on the right than the left , are likely atelectasis . There is no pulmonary edema , pleural effusion , or pneumothorax . The aorta is calcified and tortuous . The cardiac size is at the upper limits of normal , and unchanged . There are coronary artery and aortic valve calcifications , which have progressed since the prior exam . Compression deformities in the mid thoracic spine are stable . Old healed rib fractures are unchanged .
    OUTPUT:
    
1 . Bibasilar opacities are likely atelectasis ; no definite evidence of pneumonia . 2 . Hyperinflation , consistent with COPD .