Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated . Coarsened lung markings , similar compared to prior are likely due to a chronic underlying interstitial changes . There is no consolidation , effusion , or pneumothorax . Calcified paraesophageal node partially visualized . No displaced fractures identified .
    OUTPUT:
    
Hyperinflation with changes in the lungs which are likely chronic . No acute cardiopulmonary process .