Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Bronchial wall thickening and mild bronchiectasis as previously seen in the lower lungs is redemonstrated on the current examination . The lungs are hyperinflated with corresponds with the history of COPD . No confluent opacity is identified to suggest consolidation . There is no pneumothorax . No pulmonary edema or pleural effusions are evident . Cardiomediastinal and hilar contours are within normal limits . Aortic valvular and coronary calcifications are noted .
    OUTPUT:
    
1 . Hyperinflation , bronchiectasis and bronchial wall thickening - chronic changes related to COPD that appear similar to prior . 2 . No acute cardiopulmonary process .