Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with a barrel chest configuration compatible with COPD . No focal consolidation is identified . There is a moderate - sized hiatus hernia . The cardiomediastinal silhouette and hilar contours are otherwise normal . There is no pleural effusion or pneumothorax .
    OUTPUT:
    
Hyperinflated lungs compatible with COPD . No focal consolidation . Moderate hiatus hernia .