Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter , suggesting chronic obstructive pulmonary disease . Areas of chronic changes / scarring are seen , including the right mid lung and bibasilar regions . Basilar opacities are most likely due to atelectasis and / or scarring ; however , an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting . No pleural effusion or pneumothorax is seen . The cardiac silhouette is top normal . The aorta is calcified and tortuous . There is severe compression of a mid thoracic vertebral body and likely moderate compression of a lower thoracic vertebral body of indeterminate age but may be old . Correlate clinically for acuity .
    OUTPUT:
    
COPD and likely chronic lung changes . Bibasilar opacities are most likely due to atelectasis / scarring , although an early consolidation due to infection or aspiration is not excluded in the appropriate clinical setting . Severe compression of a mid thoracic vertebral body and moderate - to - severe compression of a lower thoracic vertebral body of indeterminate age , but may be chronic . Correlate clinically for acuity .