Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The lungs are hyperinflated but clear without consolidation or effusion . Opacity at the left cardiophrenic angle is compatible with a fat pad seen on prior CT . Cardiomediastinal silhouette is within normal limits . No acute osseous abnormalities .
    OUTPUT:
    
Hyperinflation without superimposed acute cardiopulmonary process .