Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are noted to be hyperinflated , compatible with the patient 's known chronic obstructive pulmonary disease . There is no evidence of focal consolidation , pleural effusion , pneumothorax , or pulmonary edema . The previously described multiple sub - 4 mm right upper lobe pulmonary nodules are not well visualized on this examination . The cardiomediastinal silhouette is stable . No acute bony abnormality is detected .
    OUTPUT:
    
1 . No acute cardiopulmonary process . 2 . COPD .