Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: AP and lateral views of the chest . No prior . Lungs are hyperinflated . Diffusely increased interstitial markings are seen throughout most suggestive of a chronic underlying lung disease . Bi-apical scarring with superior retraction of the hila . There is no evidence of large confluent consolidation . Cardiomediastinal silhouette is within normal limits . Osseous and soft tissue structures are notable for an upper thoracic dextroscoliosis .
    OUTPUT:
    
Findings suggestive of COPD with bi-apical scarring . No definite acute cardiopulmonary process , although subtle changes could be missed given diffuse parenchymal abnormalities .