Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The previously noted left lower lung pneumonia is resolved . Lungs are hyperinflated , suggestive of emphysema or small airways obstruction . The heart is mildly enlarged . Multiple calcified granulomas are again identified . No pulmonary edema , pleural effusion , or pneumothorax .
    OUTPUT:
    
1 . Resolution of left lower lobe pneumonia . 2 . Hyperinflated lungs , compatible with COPD or small airways obstruction .