FINDINGS:
PA and lateral views of the chest provided.   Lungs appear hyperinflated which
 could reflect COPD. Coarsened reticular markings are noted which could reflect
 mild underlying fibrosis versus emphysema. No focal consolidation concerning
 for pneumonia. No evidence of edema. The heart appears mildly enlarged.
 Mediastinal contours unremarkable. No pneumothorax or effusion. Bony
 structures are intact.

IMPRESSION:
COPD with possible mild fibrosis. No convincing sign of pneumonia or edema.