Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . The lungs are hyperinflated and there is flattening of the diaphragms , suggestive of COPD . There is lower lobe predominant emphysema . There are no focal consolidations , pleural effusions , pulmonary edema or pneumothorax . There is mild scoliosis .
    OUTPUT:
    
1 . Typical findings of chronic obstructive pulmonary disease with lower lobe predominant emphysema , distribution suggestive of alpha 1 antitrypsin deficiency . 2 . No radiographic evidence of an acute cardiopulmonary process .