Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated and flattened diaphragms are seen , consistent with known COPD . Bibasilar opacities are seen , consistent with atelectasis . The lungs are otherwise clear . The left costophrenic angle is not included on this exam , but no pleural effusion seen . There is no pneumothorax . Cardiomediastinal silhouette is unremarkable . Orthopedic spinal fusion hardware is noted in the cervicothoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .