Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is mildly enlarged but unchanged . The aortic knob is calcified . Mediastinal and hilar contours are within normal limits . The pulmonary vascularity is not engorged . The lungs are hyperinflated with flattening of the diaphragms compatible with COPD . No focal consolidation , pleural effusion or pneumothorax is identified . Diffuse demineralization the osseous structures is noted . Clips in the right upper quadrant of the abdomen are present . On the lateral view , rounded calcifications within the upper abdomen are within a tortuous splenic artery .
    OUTPUT:
    
No acute cardiopulmonary abnormality .