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 , consistent with known COPD . Again seen is extensive bronchiectasis and bronchial wall thickening with architectural distortion , unchanged from ___ . There is no focal consolidation , pleural effusion or pneumothorax . Cardiac and mediastinal silhouettes and hilar contours are unchanged . Cervical spinal hardware is incompletely evaluated on this study .
    OUTPUT:
    
No pneumonia or effusion . Findings were discussed with Dr . ___ by phone at 3 : 15 p .m . , ___ .