Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . Lungs are hyperexpanded and there is flattening of the diaphragms consistent with chronic lung disease . Lungs are otherwise clear . No focal consolidation , pleural effusion or pneumothorax is identified . Visualized osseous structures are grossly intact .
    OUTPUT:
    
No radiographic evidence of an acute cardiopulmonary process .