Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lungs appear ___ markedly hyperinflated with widened AP diameter of the chest and prominent retrosternal airspace consistent with COPD . Scattered areas of calcified pleural plaque noted bilaterally likely reflecting chronic asbestos exposure . Biapical pleural parenchymal scarring is more clearly assessed on the same day CTA head and neck . No focal consolidation , effusion or pneumothorax is seen . The heart is top - normal in size . Mediastinal contour is normal . No acute bony injury .
    OUTPUT:
    
Severe COPD , calcified pleural plaque , top - normal heart size .