Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest . There is no focal consolidation , pleural effusion or pneumothorax . The cardiomediastinal and hilar contours are normal . Lungs are hyperinflated secondary to COPD . An area of focal scarring in the right upper lobe is unchanged . Upward retraction of the hila is also stable .
    OUTPUT:
    
No acute cardiopulmonary process . Findings associated with COPD are unchanged .