Summarize the radiology report findings into an impression within 3 sentences.
    INPUT: PA and lateral views of the chest provided . Lungs are hyperinflated which is reflective of underlying COPD . No focal consolidation , large effusion or pneumothorax is seen . Seen only on the lateral projection is a calcified granuloma projecting over the lower T - spine , stable from prior CT . Cardiomediastinal silhouette appears normal . Cervical spinal hardware is partially imaged . Bony structures appear grossly intact . Mild compression deformity involving a mid and lower thoracic vertebral body appear chronic .
    OUTPUT:
    
COPD without acute intrathoracic process .