Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Marked hyper inflation of the lungs a keeping with the patient 's known COPD nodular opacities in the right upper lobe have improved when compared to the prior examination . No acute focal consolidation . The cardiomediastinal contours are unchanged .
    OUTPUT:
    
Severe hyperinflation , no acute cardiopulmonary process .