Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: The cardiomediastinal and hilar contours are within normal limits . As compared to prior examination , lungs volumes are increased and hyperinflated , suggestive of COPD . There is no focal consolidation , pleural effusion or pneumothorax .
    OUTPUT:
    
Hyperinflated lungs , suggestive of COPD . No acute cardiopulmonary process .