Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Lungs are hyperinflated but grossly clear . Cardiomediastinal contours are within normal limits and without change . There is no pleural effusion or pneumothorax . Extreme lateral right hemi thorax is not included on the radiograph , precluding assessment of the ribs and peripheral pleural surfaces in this region .
    OUTPUT:
    
1 . No radiographic evidence of pneumonia . 2 . Hyperexpanded lungs suggestive of COPD .