Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Increased AP diameter of the chest on the lateral view is similar to prior examination and is suggestive of underlying chronic obstructive pulmonary disease . Lungs are clear . There is no confluent consolidation . No pulmonary edema or pleural effusions are identified . Cardiomediastinal and hilar contours are within normal limits and unchanged . No displaced fracture is seen .
    OUTPUT:
    
Probable chronic obstructive pulmonary disease . No pneumonia . No displaced fracture is seen , but if clinical concern for rib fracture is high , rib series or CT is more sensitive .