Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The hyperinflated lungs are clear . There is flattening of the hemidiaphragms . The hilar and cardiomediastinal contours are normal . Heart size is top normal . There is no pneumothorax or pleural effusion . The pulmonary vascular markings are normal . The ICD and its leads are appropriately placed .
    OUTPUT:
    
No evidence of pneumonia . Radiographic evidence of mild COPD .