Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are normal . There is no pleural effusion or pneumothorax . Lungs are hyperinflated , consistent with COPD . There is no focal consolidation concerning for pneumonia . Biapical scarring is present . Surgical clips in right upper quadrant are noted . Mild anterior wedging of a mid thoracic vertebral body is present .
    OUTPUT:
    
No acute cardiopulmonary process . Mild anterior wedging of a mid thoracic vertebral body of indeterminate age .