Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: Chronic hyperinflation of the lungs compatible with COPD . No acute consolidation is identified . The cardiomediastinal silhouette and hilar contours are within normal limits and stable . There is no pleural effusion or pneumothorax . The left chest pacemaker and leads are in unchanged position was within the right atrium and the right ventricle . Old right rib fractures are unchanged . Mitral annular capsule are noted .
    OUTPUT:
    
Hyperinflated lungs compatible with chronic lung disease . No acute consolidation .