Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , suggesting chronic obstructive pulmonary disease . No focal consolidation is seen peer there is no pleural effusion or pneumothorax peer The cardiac and mediastinal silhouettes are unremarkable . Multilevel degenerative changes are noted along the spine .
    OUTPUT:
    
No focal consolidation to suggest pneumonia .