Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The aorta is mildly tortuous and demonstrates atherosclerotic mural calcifications at the aortic arch . The hilar contours are normal . There is mild pulmonary vascular congestion . Blunting of the costophrenic angle on the right is compatible with a trace pleural effusion . The lungs are hyperinflated . There is scarring within the lung apices . No focal consolidation is identified , and there is no pneumothorax . Diffuse demineralization of the osseous structures is noted .
    OUTPUT:
    
Mild pulmonary vascular congestion and small right pleural effusion . Hyperinflation of the lungs suggestive of underlying COPD .