Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Cardiac , mediastinal and hilar contours are normal . Pulmonary vasculature is normal . The lungs are hyperinflated compatible with a history of COPD . No focal consolidation , pleural effusion or pneumothorax is identified . Clips are noted within the left upper quadrant of the abdomen and a portion of a shunt catheter is seen within the right upper quadrant of the abdomen . Spinal fusion hardware is re - demonstrated at the cervicothoracic junction .
    OUTPUT:
    
No acute cardiopulmonary abnormality . COPD .