Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The portable upright radiograph of the chest demonstrates moderate cardiomegaly , progressed from the prior study . The lungs are hyperinflated , consistent with COPD . There is no focal consolidation or pulmonary edema . There is no pneumothorax or pleural effusion .
    OUTPUT:
    
Moderate cardiomegaly , progressed from ___ . COPD .