Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: A tracheostomy tube is in place . There is hyperinflation consistent with background COPD . The cardiomediastinal silhouette , including mild cardiomegaly and prominence of the superior mediastinum , is unchanged compared with ___ . There is upper zone redistribution and mild vascular blurring , without other evidence of CHF . There are patchy opacities at both lung bases . Possible minimal blunting of the left costophrenic angle , but no gross effusion identified . Again seen is calcification along the left chest wall , possibly sequela from old hemothorax . Multiple clips again noted in the upper abdomen .
    OUTPUT:
    
1 . STABLE CARDIOMEGALY AND MILD VASCULAR PLETHORA . 2 . BIBASILAR PATCHY OPACITIES LEFT - GREATER - THAN - RIGHT . THE POSSIBILITY OF AN EARLY PNEUMONIC INFILTRATE CANNOT BE EXCLUDED .