Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal . Mediastinal contours are unremarkable . No pulmonary edema is seen . Evidence of DISH is seen along the thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process . No focal consolidation to suggest pneumonia .