Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest were provided . The lungs appear hyperinflated , which could reflect underlying COPD . No focal consolidation , effusion , or pneumothorax is seen . Cardiomediastinal silhouette appears normal . The imaged bony structures appear intact . Mild spurring anteriorly in the thoracic spine noted . No free air below the right hemidiaphragm .
    OUTPUT:
    
No acute findings in the chest . Underlying COPD .