Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . No focal consolidation , effusion , pneumothorax , or edema . Pleural thickening and / or scarring at the left costophrenic angle is mild . Streaky linear are opacity in the bilateral lower lungs may reflect scarring and or minimal atelectasis . Pulmonary vascular congestion may be minimal . The heart is top - normal in size . The mediastinum is not widened . No acute osseous abnormality .
    OUTPUT:
    
1 . Hyperexpanded lungs , consistent with chronic pulmonary disease . 2 . No pneumonia .