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 with flattening of the diaphragms , suggesting chronic obstructive pulmonary disease . A few scattered calcified granulomas are noted . The cardiac and mediastinal silhouettes are stable . There is no overt pulmonary edema . There is mild left base scarring / atelectasis .
    OUTPUT:
    
COPD . No acute cardiopulmonary process . No significant interval change . Please note that chest CT is more sensitive in detecting small pulmonary nodules .