Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest are obtained . Lungs appear hyperinflated , but clear bilaterally without focal consolidation , effusion , or pneumothorax . Cardiomediastinal silhouette appears grossly unremarkable . Imaged osseous structures appear intact . Degenerative changes at the right shoulder and T - spine again noted .
    OUTPUT:
    
No evidence of pneumonia . Possible COPD .