Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Pulmonary hyperinflation . The heart size is normal . The hila are normal . No airspace consolidation . Small granuloma seen in the lateral aspect of the right upper lobe . No pleural effusions . Spondylotic changes of the thoracic spine .
    OUTPUT:
    
Pulmonary hyperinflation suggestive of COPD . No pulmonary edema . No pneumonia . .