Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Focal left lower lung linear atelectasis . Unchanged left apical calcified granuloma is seen again . Hyperinflated lungs . No focal consolidation , pleural effusion , pneumothorax or pulmonary edema is seen . Heart size is normal . Mediastinal contours are normal .
    OUTPUT:
    
No evidence of pneumonia . Hyperinflated lungs , suggestive of COPD .