Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperexpanded with flattened diaphragms , suggesting COPD . There is no focal consolidation , vascular congestion , or pneumothorax . Patient is status post sternotomy with multiple intact sternotomy wires . Surgical clips in the left mediastinum are unchanged . The heart is not enlarged , and the heart borders are well - defined . Osseous structures are unremarkable .
    OUTPUT:
    
1 . No clear correlate for the patient 's right clavicular pain . 2 . Status post sternotomy with unchanged general appearance of emphysema / COPD .