Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded . There is no evidence of focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The cardiomediastinal silhouette is within normal limits . Cervical fusion hardware is noted within the lower cervical spine .
    OUTPUT:
    
Hyperexpanded lungs , which can be seen in COPD . No evidence of acute cardiopulmonary process .