Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . The lungs are hyperinflated . There is diffuse interstitial abnormality noted with relative areas of lucency superiorly and fibrotic changes in the mid lungs bilaterally . Bilateral calcified granulomas are also identified . Increased interstitial markings are seen at the bases . There is no confluent consolidation nor effusion . The cardiomediastinal silhouette is within normal limits . Atherosclerotic calcifications are noted at the aortic arch . No acute osseous abnormalities detected .
    OUTPUT:
    
Findings are suggestive of COPD and previous granulomatous disease . No definite confluent consolidation although given increased interstitial opacities with lack of prior for comparison to document stability , acute process would be difficult to completely exclude .