Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are quite hyperinflated , as was also seen previously , suggesting chronic obstructive pulmonary disease . Right greater than left biapical pleural thickening is again seen . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . The cardiac and mediastinal silhouettes are stable . Thoracic dextroscoliosis is seen . Surgical clips are again seen projecting over the right lower hemi thorax .
    OUTPUT:
    
No acute cardiopulmonary process . COPD .