Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiomediastinal silhouette and hilar contours are normal . Lungs are extremely hyperinflated with flattening of the hemidiaphragms compatible with COPD . A small right apical granuloma is unchanged since ___ . Lungs are otherwise clear without evidence of fibrosis . There is no pleural effusion or pneumothorax . Healed fractures of the lateral left ___ and 4th ribs are noted .
    OUTPUT:
    
No acute cardiopulmonary process seen . No evidence of amiodarone toxicity . Hyperexpanded lungs volume compatible with COPD .