Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear of consolidation , effusion , or edema . Moderate cardiomegaly is again seen . Atherosclerotic calcifications are noted at the aortic arch . Hypertrophic changes noted in the spine .
    OUTPUT:
    
Cardiomegaly and hyperinflation without superimposed acute cardiopulmonary process .