Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded consistent with COPD . There is no focal consolidation , pleural effusion , pulmonary edema , or pneumothorax . The cardiomediastinal silhouette is within normal limits . An accessed right pectoral Port - A - Cath catheter tip terminates at the cavoatrial junction .
    OUTPUT:
    
Hyperexpansion consistent with COPD . No evidence of acute cardiopulmonary process .