Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Frontal and lateral views of the chest were obtained . The lungs are hyperinflated with flattening of the diaphragms and increased AP diameter , suggesting chronic obstructive pulmonary disease . No focal consolidation , pleural effusion , or evidence of pneumothorax is seen . Cardiac and mediastinal silhouettes are unremarkable . Degenerative changes are seen in the upper - to - mid thoracic spine .
    OUTPUT:
    
No acute cardiopulmonary process .