Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The heart size is normal . The mediastinal and hilar contours are unchanged , with mild tortuosity of the thoracic aorta . Diffuse thoracic aortic calcifications are also noted . The pulmonary vascularity is not engorged . Hyperinflation of the lungs is again noted . Lungs are otherwise clear without focal consolidation . No pleural effusion or pneumothorax is seen . No acute osseous abnormalities are detected . Cholecystectomy clips are demonstrated within the right upper quadrant . Remote right - sided rib fracture is present .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Hyperinflated lungs suggestive of underlying COPD .