Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiac , mediastinal and hilar contours are normal . The pulmonary vascularity is normal . Lungs appear hyperinflated , suggestive of underlying chronic obstructive lung disease , but no focal consolidation is present . Right apical scarring is unchanged . No pleural effusion or pneumothorax is identified . Pulmonary vascularity is normal . Multiple old right - sided rib fractures are visualized .
    OUTPUT:
    
No acute cardiopulmonary abnormality . Chronic obstructive lung disease .