Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . The lungs are hyperinflated , consistent with COPD . There is no pulmonary edema . There is a small left pleural effusion . No right pleural effusion . Mild left basilar atelectasis . No focal parenchymal opacities concerning for pneumonia . No pneumothorax . The cardiac , mediastinal , and hilar contours are normal .
    OUTPUT:
    
1 . Unchanged emphysematous changes in the lungs . 2 . No evidence of acute pneumonia or pulmonary edema . 3 . Small left pleural effusion . These findings were discussed with Dr . ___ at 1 :45 p .m . on ___ by telephone .