Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated , compatible with chronic lung disease . There is no pleural effusion , pneumothorax or focal airspace consolidation worrisome for pneumonia . Scarring / chronic atelectasis at the left lung base is unchanged . The heart is normal size . The mediastinal and hilar contours are unremarkable . A left pectoral pacemaker , sternotomy wires and mediastinal clips are constant . Chronic appearing right - sided rib fractures are noted .
    OUTPUT:
    
No acute cardiopulmonary process .