Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: An endotracheal tube terminates 4 .2 cm above the carina . The heart size is normal . The hilar and mediastinal contours are within normal limits . There is no pneumothorax , focal consolidation , pleural effusion , or pulmonary edema . The lungs are hyperinflated , reflecting COPD .
    OUTPUT:
    
No new consolidation , effusion , edema or pneumothorax .