Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated with slight elevation of the right hemidiaphragm . Skin fold is noted on the left . No focal consolidation is seen . There is no pleural effusion or pneumothorax . The cardiac silhouette is top - normal . Mediastinal contours are unremarkable .
    OUTPUT:
    
No focal consolidation . Hyperinflated lungs , suggest COPD .