Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The overall appearance of the lungs are unchanged with hyperinflation and relative lucency in the upper lobes . Bibasilar reticular opacities are chronic and unchanged . No acute focal consolidation . The cardiac silhouette remains enlarged with a stable calcified aneurysm along the posterior left ventricle .
    OUTPUT:
    
No acute radiographic intrathoracic pulmonary disease . Chronic changes of COPD . Chronic aneurysm of the left ventricle .