Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperexpanded . There is no consolidation , pleural effusion , or pneumothorax . Cardiomediastinal and hilar silhouettes are normal size . There are increased opacities at bilateral lung apices with pleural thickening , compared to ___ .
    OUTPUT:
    
Bilateral apical opacities and pleural thickening are increased compared to ___ , suggestive of fibrosis .