Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , without focal opacities . Cardiomediastinal and hilar contours are unremarkable . There is no pleural effusion or pneumothorax . An ICD device is seen with leads in unchanged position compared with prior exam . Sternotomy wires and mediastinal clips are also re-identified .
    OUTPUT:
    
No evidence of acute cardiopulmonary process . Lung hyperinflation compatible with COPD .