Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Hyperexpanded lungs are clear . Normal heart size , mediastinal and hilar contours . No pleural effusion or pneumothorax is present . Stable appearance of flattened diaphragms and interstitial increased markings are consistent with COPD .
    OUTPUT:
    
No pneumonia . Telephone notification to Dr . ___ by Dr . ___ at 12 :05 p .m . on ___ per request .