Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs remain hyperinflated , suggesting chronic obstructive pulmonary disease . Bibasilar linear opacities persist , likely due to atelectasis and / or scarring . No definite focal consolidation is seen . There is no pleural effusion or pneumothorax . Multiple surgical clips are re - demonstrated in the left axilla .
    OUTPUT:
    
No significant interval change .